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See a sample rate comparisonCPT 69726 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.
Removal Entire Oi Implt Skl Perq Attachment Esp, Removal Entire Osseointegrated Implant Skull; With Percutaneous Attachment To External Speech Processor
| 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 | Moderate |
| Medicare Fee Schedule | View Medicare rates for 69726 |
| Medicaid Fee Schedule | View Medicaid rates for 69726 |
National average reimbursement for CPT 69726 by major payers:
$564.65
$573.69
$556.20
$760.42
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CPT 69726
5 of 25 sample ratesHigher to lower in this preview
Virginia Mason Medical Center, Virginia Mason Issaquah Asc
Virginia Mason Medical Center
$6,399.00Published rateSurgcenter Of The Potomac, LLC
$3,500.00Published rateOrthovirginia Operatory
Orthovirginia, Inc.
$2,170.00Published rateParkway Surgery Center
Parkway Surgery Center, LLC
$1,300.00Published rateValley Endoscopy Center, Inc
$600.00Published rate
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See a sample payer proposalCPT 69726 vs. Other Surgical Procedures on the Auditory System Codes
The CPT 69726 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 69726 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 |
|---|---|---|
| 69676-CPT | High | Neurectomy Tympanic Unilateral |
| 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 |
| 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 69726. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 69726 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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