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See a sample rate comparisonCPT 69799 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.
Unlisted Procedure,Middle Ear
| 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 LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 69799 |
| Medicaid Fee Schedule | View Medicaid rates for 69799 |
National average reimbursement for CPT 69799 by major payers:
$966.26
$131.92
$1,419.23
$499.12
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CPT 69799
5 of 25 sample ratesHigher to lower in this preview
The Metrohealth System, Metrohealth System Parma Ambulatory Surgery Center
$1,492.00Published rateFlorida Springs Surgery Center LLC
Florida Springs Surgery Center L
$566.00Published rateHastings Surgical Center, LLC, Hastings Surgical Center
Hastings Surgical Center LLC
$270.00Published rateMeadowview Asc, LLC
Meadowview Asc LLC
$150.00Published ratePonte Vedra Beach Surgery Center LLC
Surgical Center Of Ponte Vedra B
$50.00Published rate
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See a sample payer proposalCPT 69799 vs. Other Surgical Procedures on the Auditory System Codes
The CPT 69799 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 69799 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 |
|---|---|---|
| 69641-CPT | High | Eardrum And Middle Ear Surgery, Surgery To Remove The Bone Behind The Ear (Mastoid Bone) And Reconstruct The Eardrum (Tympanic Membrane). The Procedure May Involve Reconstructing The Chain Of Middle Ear Bones That Transmit Sound (Ossicular Chain). |
| 69676-CPT | High | Neurectomy Tympanic Unilateral |
| 69799-CPT | Moderate | Unlisted Procedure,Middle Ear |
| 69801-CPT | Moderate | Labyrinthotomy With Or Withou, Labyrinthotomy With Or Without Cryosurgery Including Other Nonexcisional Destructive Procedures Or Perfusion Of Vestibuloactive Drugs (Single Or Multiple Perfusions) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 69799. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 69799 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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