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See a sample rate comparisonCPT 69667 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Repair Hole In Ear Membrane, Surgical Repair Of A Hole In The Round Window (Membrane Between The Middle And Inner Ear That Regulates Pressure Within The Inner Ear).
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Auditory System |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 69667 |
| Medicaid Fee Schedule | View Medicaid rates for 69667 |
National average reimbursement for CPT 69667 by major payers:
$1,094.19
$1,042.75
$1,097.56
$1,323.20
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CPT 69667
5 of 25 sample ratesHigher to lower in this preview
Disc Surgery Center At Marina Del Rey LLC
$8,000.00Published rateWinter Park Surgery Center Lp, Physician'S Surgical Care Center
Winter Park Surgery Center Lp
$2,025.00Published rateSouth Sound Surgery, PLLC, Auburn Surgical Center
South Sound Surgery PLLC
$1,474.00Published rateAffiliated Physicians & Surgeons, Ltd
Affiliated Physicians Surgeons Ltd
$1,059.00Published rateEye Surgery Center Of Saint Augustine Inc
$500.00Published rate
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See a sample payer proposalCPT 69667 vs. Other Surgical Procedures on the Auditory System Codes
The CPT 69667 code is part of the Surgery services used for Surgical Procedures on the Auditory System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 69667 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 69662-CPT | High | Surgery On The Middle Ear, Surgery On The Middle Ear To Remove One Of The Bones (Stapes Bone) And Reposition Remove Or Revise The Prosthesis So That Sound Is Transmitted. |
| 69666-CPT | High | Repair Oval Window Fistula |
| 69667-CPT | High | Repair Hole In Ear Membrane, Surgical Repair Of A Hole In The Round Window (Membrane Between The Middle And Inner Ear That Regulates Pressure Within The Inner Ear). |
| 69670-CPT | High | Obliteration Mastoid |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 69667. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 69667 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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