69505 Remove mastoid structures
Also known as: subtotal petrosectomy, extended mastoidectomy, petrous apex disease removal
Subtotal petrosectomy or removal of mastoid structures including the entire air cell system and portions of the petrous bone for extensive disease control.
In Plain Language
removal of larger mastoid area; extensive ear bone surgery
Clinical Context
Used for extensive cholesteatoma, petrous bone disease, recurrent cholesteatoma with canal wall reconstruction failure, or severe chronic otitis media with extensive bone destruction.
RVU Breakdown
| Work RVU | 12.84 |
| Total RVU | 12.84 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 12.84, this code ranks in the 67th percentile among Surgery codes — 1.6x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 69505?
CPT 69505 (Remove mastoid structures) is a Surgery code. Subtotal petrosectomy or removal of mastoid structures including the entire air cell system and portions of the petrous bone for extensive disease control.
What is the wRVU value for CPT 69505?
The work RVU for CPT 69505 is 12.84. This code is primarily used by otolaryngology, neurotology, surgical otology. It has a 90-day global period.
When is CPT 69505 used?
Used for extensive cholesteatoma, petrous bone disease, recurrent cholesteatoma with canal wall reconstruction failure, or severe chronic otitis media with extensive bone destruction.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.