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See a sample rate comparisonCPT 69728 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.
Rmv Ntr Oi Imp Sk Tc Esp>/=100, Removal Entire 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
| 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 69728 |
| Medicaid Fee Schedule | View Medicaid rates for 69728 |
National average reimbursement for CPT 69728 by major payers:
$873.86
$827.03
$752.33
$1,000.02
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CPT 69728
5 of 25 sample ratesHigher to lower in this preview
New Gulf Coast Surgery Center, LLC
Gulfport Surgery Clinic, LLC
$9,239.00Published rateRed Cedar Surgery Center, LLC, Red Cedar Surgery Center, PLLC
Red Cedar Surgery Center, PLLC
$4,339.00Published rateMontpelier Surgery Center
$2,609.00Published rateAlliance Surgery Center At Woodstock, LLC
Alliance Surgery Center At Woodstock LLC
$1,500.00Published rateDigestive Endoscopy Center LLC
Digestive Endoscopy Center, LLC
$759.00Published rate
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See a sample payer proposalCPT 69728 vs. Other Surgical Procedures on the Auditory System Codes
The CPT 69728 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 69728 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 |
|---|---|---|
| 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 |
| 69727-CPT | Moderate | Rmv Ntr Oi Imp Sk Tc Esp 100, Removal Entire 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 |
| 69728-CPT | Moderate | Rmv Ntr Oi Imp Sk Tc Esp>/=100, Removal Entire 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 |
| 69729-CPT | Moderate | Impl Oi Implt Sk Tc Esp 100, Implantation Osseointegrated Implant Skull With Magnetic Transcutaneous Attachment To External Speech Processor Outside Of The Mastoid And Resulting In Removal Of 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 69728. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 69728 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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