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See a sample rate comparisonCPT 69720 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.
Dcompress Facial Nrve Intratemporal; Lateral To Geniculat Gangl, Decompression Facial Nerve Intratemporal; Lateral To Geniculate Gangl
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Auditory System |
| Common Place of Service | 21 - Inpatient Hospital 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 69720 |
| Medicaid Fee Schedule | View Medicaid rates for 69720 |
National average reimbursement for CPT 69720 by major payers:
$1,654.15
$1,532.91
$1,593.97
$1,937.28
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CPT 69720
5 of 25 sample ratesHigher to lower in this preview
Summer Street Asc LLC
$6,179.00Published ratePony Creek Annex, LLC
Pony Creek Annex LLC
$3,956.00Published rateSaint Lukes South Surgery Center LLC
$2,933.00Published rateSan Diego Eyecor LLC
San Diego Eye Cor., Inc.
$1,979.00Published rateNorthwest Eye Specialists,LLC
Northwest Eye Specialists, P.L.L.C.
$587.00Published rate
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See a sample payer proposalCPT 69720 vs. Other Surgical Procedures on the Auditory System Codes
The CPT 69720 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 69720 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 |
|---|---|---|
| 69436-CPT | Moderate | Procedure To Place Ear Tubes, A Procedure To Implant Tubes Into The Ears In Order To Balance Eardrum Pressure Or Treat Frequent Ear Infections. |
| 69720-CPT | High | Dcompress Facial Nrve Intratemporal; Lateral To Geniculat Gangl, Decompression Facial Nerve Intratemporal; Lateral To Geniculate Gangl |
| 69725-CPT | High | Dcompress Facial Nrve Intratemporal; Inclu Medial To Genicul, Decompression Facial Nerve Intratemporal; Including Medial To Genicul |
| 69726-CPT | Moderate | Removal Entire Oi Implt Skl Perq Attachment Esp, Removal Entire Osseointegrated Implant Skull; With Percutaneous Attachment To External Speech Processor |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 69720. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 69720 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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