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See a sample rate comparisonCPT 69806 Fee Schedule
Last Verified: September 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.
Relieve Pressure On Inner Ear, Surgery To Reduce Pressure Inside The Ear Associated With Menieres Syndrome. The Procedure Treats Dizziness Hearing Loss And Ringing In The Ears.
| 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 | High |
| Medicare Fee Schedule | View Medicare rates for 69806 |
| Medicaid Fee Schedule | View Medicaid rates for 69806 |
National average reimbursement for CPT 69806 by major payers:
$1,340.77
$1,215.20
$1,264.99
$1,522.51
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CPT 69806
5 of 25 sample ratesHigher to lower in this preview
Ku Medwest Ambulatory Surgery Center, LLC
Ku Medwest Ambulatory Surgery Center LLC
$5,787.00Published rateBaylor Surgicare At North Dallas, LLC, Baylor Scott & White Surgicare-North Dallas
$4,234.00Published rateCharleston Ent Associates, LLC, Surgery Center Of Charleston
Charleston Ent Associates, LLC
$2,800.00Published rateManatee Surgical Center, LLC
$1,550.00Published rateLong Island Center For Digestive Health LLC
Long Island Center For Digestive Health, LLC
$668.00Published rate
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See a sample payer proposalCPT 69806 vs. Other Surgical Procedures on the Auditory System Codes
The CPT 69806 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 69806 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 |
|---|---|---|
| 69805-CPT | High | Relieve Pressure On Inner Ear, Surgery To Reduce Pressure Inside The Ear Associated With Menieres Syndrome. The Procedure Treats Dizziness Hearing Loss And Ringing In The Ears. |
| 69806-CPT | High | Relieve Pressure On Inner Ear, Surgery To Reduce Pressure Inside The Ear Associated With Menieres Syndrome. The Procedure Treats Dizziness Hearing Loss And Ringing In The Ears. |
| 69905-CPT | High | Labyrinthectomy Transcanal |
| 69910-CPT | High | Labyrinthectomy; With Mastoidectomy |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 69806. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 69806 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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