69530 Extensive mastoid surgery
Also known as: radical mastoidectomy, canal wall down with reconstruction, intact canal wall surgery
Radical mastoidectomy with canal wall down approach, often with ossicular reconstruction to provide disease control while attempting to preserve hearing function.
In Plain Language
extensive mastoid surgery with hearing restoration
Clinical Context
Used for advanced cholesteatoma, revision cases, or patients with high recurrence risk. Removes disease while attempting to maintain ossicular function or using ossicular prostheses for hearing restoration.
RVU Breakdown
| Work RVU | 19.87 |
| Total RVU | 19.87 |
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 19.87, this code ranks in the 82nd percentile among Surgery codes — 2.5x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 69530?
CPT 69530 (Extensive mastoid surgery) is a Surgery code. Radical mastoidectomy with canal wall down approach, often with ossicular reconstruction to provide disease control while attempting to preserve hearing function.
What is the wRVU value for CPT 69530?
The work RVU for CPT 69530 is 19.87. This code is primarily used by otolaryngology, neurotology, surgical otology. It has a 90-day global period.
When is CPT 69530 used?
Used for advanced cholesteatoma, revision cases, or patients with high recurrence risk. Removes disease while attempting to maintain ossicular function or using ossicular prostheses for hearing restoration.
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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.