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See a sample rate comparisonCPT 69960 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.
Decompression Internal Auditory Canal
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Auditory System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body 51 - Multiple procedures |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 69960 |
| Medicaid Fee Schedule | View Medicaid rates for 69960 |
National average reimbursement for CPT 69960 by major payers:
$2,442.88
$2,480.88
$2,517.61
$3,079.41
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CPT 69960
5 of 25 sample ratesHigher to lower in this preview
Franconia-Springfield Surgery Center, LLC, Inova Surgery Center @ Franconia-Springfield
Inova Ambulatory Surgical Centers
$8,387.00Published rateNew Horizons Surgery Center LLC
$5,249.00Published rateSpine Solutions Of Sheboygan LLC
$3,628.00Published rateNorth Pacific Dermatology Ps
$2,629.00Published rateKenosha Digestive Health Center LLC
$830.00Published rate
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See a sample payer proposalCPT 69960 vs. Other Surgical Procedures on the Auditory System Codes
The CPT 69960 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 69960 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 |
|---|---|---|
| 69905-CPT | High | Labyrinthectomy Transcanal |
| 69955-CPT | High | Total Facial Nrve Dcompress &/Or Rpair (May Inclu Grft), Total Facial Nerve Decompression And/Or Repair (May Include Graft) |
| 69960-CPT | High | Decompression Internal Auditory Canal |
| 69970-CPT | High | Remove A Tumor Near The Ear, Surgery To Remove A Tumor From The Temporal Bone (Part Of The Skull Which Contains The Ear). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 69960. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 69960 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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