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See a sample rate comparisonCPT 69949 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.
Unlisted Procedure Inner Ear
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Auditory System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 69949 |
| Medicaid Fee Schedule | View Medicaid rates for 69949 |
National average reimbursement for CPT 69949 by major payers:
$1,057.00
$147.41
$1,418.82
$1,038.54
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CPT 69949
5 of 25 sample ratesHigher to lower in this preview
Senate Street Surgery Center LLC, Clarian Health Partners Inc Mbr
Senate Street Surgery Center LLC
$4,613.00Published rateAlabama Digestive Health Endoscopy Center, LLC
Alabama Digestive Health
$574.00Published rateSpecialty Surgical Center Of Irvine Lp
Specialty Surgical Center Of Irvine, Lp
$260.00Published rateDanville Polyclinic, Ltd, Danville Polyclinic Ltd Astc
Danville Polyclinic, Ltd.
$109.00Published rateSt Lukes Surgical Center Inc
$60.00Published rate
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See a sample payer proposalCPT 69949 vs. Other Surgical Procedures on the Auditory System Codes
The CPT 69949 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 69949 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. |
| 69930-CPT | High | Cochlear Devic Implnt W//W/O Mastoidect, Cochlear Device Implantation With Or Without Mastoidectomy |
| 69949-CPT | High | Unlisted Procedure Inner Ear |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 69949. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 69949 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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