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See a sample rate comparisonCPT 69719 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Rplcm Oi Implt Sk Tc Esp 100, Replacement Including Removal Of Existing Device Osseointegrated Implant Skull With Magnetic Transcutaneous Attachment To External Speech Processor Within The Mastoid And Or Involving A Bony Defect Less Than 100 Sq Mm Surface Area Of Bone Deep To The Outer Cranial Cortex
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Auditory System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 69719 |
| Medicaid Fee Schedule | View Medicaid rates for 69719 |
National average reimbursement for CPT 69719 by major payers:
$712.06
$838.38
$795.11
$1,061.20
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CPT 69719
5 of 25 sample ratesHigher to lower in this preview
St Davids Austin Area Asc LLC, St . David'S Austin Surgery Center
St Davids Austin Area Asc LLC
$6,973.00Published rateMountain View Endoscopy Center Lp
Mountain View Endoscopy Center,
$5,100.00Published rateEccs Acquisition Company LLC
$4,227.00Published rateTrevose Specialty Care Surgical Center, LLC
$1,742.00Published rateBergen Gastroenterology PC
Bergen Gastroenterology, P.C.
$705.00Published rate
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See a sample payer proposalCPT 69719 vs. Other Surgical Procedures on the Auditory System Codes
The CPT 69719 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 69719 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 |
|---|---|---|
| 69716-CPT | Moderate | Impl Oi Implt Sk Tc Esp 100, Implantation Osseointegrated Implant Skull With Magnetic Transcutaneous Attachment To External Speech Processor Within The Mastoid And Or Resulting In Removal Of Less Than 100 Sq Mm Surface Area Of Bone Deep To The Outer Cranial Cortex |
| 69717-CPT | High | Replace Implanted Hearing Aid, Surgery To Remove An Existing Hearing Aid And Replace It With A New One Implanted Into The Bone. The Device Has An External Processor. The Procedure May Include Modifying The Bone Behind The Ear (Mastoid Bone). |
| 69719-CPT | Moderate | Rplcm Oi Implt Sk Tc Esp 100, Replacement Including Removal Of Existing Device Osseointegrated Implant Skull With Magnetic Transcutaneous Attachment To External Speech Processor Within The Mastoid And Or Involving A Bony Defect Less Than 100 Sq Mm Surface Area Of Bone Deep To The Outer Cranial Cortex |
| 69730-CPT | High | Rplc Oi Implt Sk Tc Esp 100, Replacement Including Removal Of Existing Device Osseointegrated Implant Skull With Magnetic Transcutaneous Attachment To External Speech Processor Outside The Mastoid And Involving A Bony Defect Greater Than Or Equal To 100 Sq Mm Surface Area Of Bone Deep To The Outer Cranial Cortex |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 69719. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 69719 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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