69300
Revise external ear
Code typePrimary
Payment statusRestricted coverage (R)
Global periodContractor-set global
Restricted coverage: Covered only in unusual circumstances; special instructions apply.
Whole-Procedure Pricing
Line
Qty
Global fee
Pro fee
Primary69300Revise external ear
1
$652.99
$427.20
RVU Breakdown
Component
Office
Facility
Work
6.44
6.44
Practice expense
12.18
5.42
Malpractice
0.93
0.93
Total RVU
19.55
12.79
Payment Policy & Modifiers
Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. → $979.49 office.
Multiple procedure MPPRApplies
When billed with other procedures the same day: highest-valued paid 100%, the rest 50%.
Assistant surgeon -80/81/8216% · documented
Assistant at surgery (mod 80/81/82) paid at 16% if medical necessity is documented.
Not applicable to this code
Co-surgeon -62Team surgeon -66Prof / tech split