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See a sample rate comparisonCPT 69979 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.
Procedure On Skull Near Ear, Procedure Involving The Temporal Bone (Part Of The Skull Which Contains The Ear).
| 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 LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 69979 |
| Medicaid Fee Schedule | View Medicaid rates for 69979 |
National average reimbursement for CPT 69979 by major payers:
$1,147.34
$51.99
$1,359.00
$1,869.97
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CPT 69979
5 of 25 sample ratesHigher to lower in this preview
Trident Ambulatory Surgery Center, L.P.
Trident Ambulatory Surgery Center Lp
$2,418.00Published rateAdvanced Endoscopy And Pain Center LLC
$688.00Published rateLegent Outpatient Surgery Euless, LLC, Legent Interventional Pain Center
Legent Outpatient Surgery Euless LLC
$305.00Published rateFlowood Vascular Access Asc LLC
$150.00Published rateThe Gastroenterology Center Of Virginia, PLLC
$74.00Published rate
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See a sample payer proposalCPT 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.
| Code | Complexity | Description |
|---|---|---|
| 69949-CPT | High | Unlisted Procedure Inner Ear |
| 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). |
| 69979-CPT | High | Procedure On Skull Near Ear, Procedure Involving 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 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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