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CPT 69979 Fee Schedule

Last Verified: November 2025

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, Temporal Bone, Middle Fossa Approach
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Auditory System

Common Place of Service

21 - Inpatient Hospital

22 - On Campus Outpatient Hospital

Common Modifiers

None

LT - Left side of body

RT - Right side of body

Complexity LevelHigh

National average reimbursement for CPT 69979 by major payers:

bcbs

$1,147.34

uhc

$51.99

aetna

$1,359.00

cigna

$1,785.58

Preview provider-level rates for...
For billing codeCPT 69979
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 69979

United
69979$180.001538722699 - R & R SURGICAL CENTERS820815470 - (CA) RR SURGICAL INSTITUTECAAmbulatory Surgical Clinic/Center (261QA1903X)
United
69979$652.531619096161 - THE WESTERN PENNSYLVANIA HOSPITAL, FORBES REGIONAL CAMPUS250969492 - (PA) HIGHMARK HEALTHPAAmbulatory Surgical Clinic/Center (261QA1903X)
United
69979$531.001124125604 - MURDOCK AMBULATORY SURGERY CENTER LLC201543128 - (FL) MURDOCK AMBULATORY SURGERY CENTEFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
69979$325.001851407795 - NORTHERN ILLINOIS SURGERY CENTER LIMITED PATRNERSHIP, THE CENTER FOR SURGERY363776424 - (IL) NORTHERN ILLINOIS SURGERY CENTER LPILAmbulatory Surgical Clinic/Center (261QA1903X)
United
69979$541.001366406233 - MIDDLE TENNESSEE AMBULATORY SURGERY CENTER, L.P.621699667 - (TN) MIDDLE TENNESSEE AMBULATORY SURGERY CENTER LPTNAmbulatory Surgical Clinic/Center (261QA1903X)
United
69979$82.001336439645 - ACADEMIC UROLOGY OF PA, LLC205328092 - (PA) ACADEMIC UROLOGY OF PA, LLCPAAmbulatory Surgical Clinic/Center (261QA1903X)
United
69979$427.001093088999 - CHIPPENHAM AMBULATORY SURGERY CENTER, LLC371587067 - (VA) CHIPPENHAM AMBULATORY SURGERY CENTER LLCVAAmbulatory Surgical Clinic/Center (261QA1903X)
United
69979$149.001770837866 - SPINE AND PAIN PHYSICIANS SURGERY CENTER, LLC454831116 - (TN) SPINE AND PAIN PHYSICIANS SURGERY CENTER LLCTNAmbulatory Surgical Clinic/Center (261QA1903X)
United
69979$1180.001225064876 - ROCK HILL SURGERY CENTER, LLC, CAROLINA SURGICAL CENTER752562111 - (SC) ROCK HILL SURGERY CENTER LLCSCAmbulatory Surgical Clinic/Center (261QA1903X)
United
69979$250.001760923445 - DIALYSIS ACCESS CENTER A MEDICAL CORPORATION522384032CAAmbulatory Surgical Clinic/Center (261QA1903X)
United
69979$167.001013425933 - REX SURGERY CENTER OF WAKEFIELD, LLC465511168 - (NC) REX SURGERY CENTER OF WAKEFIELD LLCNCAmbulatory Surgical Clinic/Center (261QA1903X)
United
69979$589.001831484567 - GRIFFISS EC, LLC, GRIFFISS EYE SURGERY CENTER263738675 - (NY) GRIFFISS EC LLCNYAmbulatory Surgical Clinic/Center (261QA1903X)
United
69979$737.001275886319 - SURGERY CENTER OF BAY AREA HOUSTON, LLC320383244TXAmbulatory Surgical Clinic/Center (261QA1903X)
United
69979$177.001497831523 - BOSTON IVF, INC., THE SURGERY CENTER OF WALTHAM42921956 - (MA) BOSTON IVF, LLCMAAmbulatory Surgical Clinic/Center (261QA1903X)
United
69979$843.001225275688 - MAIN STREET SPECIALTY SURGERY CENTER, LLC954813223 - (CA) MAIN STREET SPECIALTY SURGERY CENTERCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 69979 vs. Other Surgical Procedures on the Auditory System Codes

The CPT 69979 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 69979 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.

CodeComplexityDescription
69949HighUnlisted Procedure Inner Ear
69955HighDecompress/Repair Facial N Total
69960HighDecompression Internal Auditory Canal
69979HighUnlisted Procedure, Temporal Bone, Middle Fossa Approach

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 69979. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 69979 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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