69535 Remove part of temporal bone
Also known as: subtotal petrosectomy with neuroplasty, petrous apex surgery, temporal bone resection
Subtotal petrosectomy with neuroplasty, extirpation or removal of temporal bone lesions including petrous apex disease, residual or recurrent cholesteatoma with extended dissection.
In Plain Language
removing a large area of ear bone including deep areas; extensive temporal bone surgery
Clinical Context
Used for petrous apex cholesteatoma, meningioma, cholesterol granuloma, or residual disease involving the petrous bone requiring neurological decompression.
RVU Breakdown
| Work RVU | 36.48 |
| Total RVU | 36.48 |
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 36.48, this code ranks in the 96th percentile among Surgery codes — 4.6x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 69535?
CPT 69535 (Remove part of temporal bone) is a Surgery code. Subtotal petrosectomy with neuroplasty, extirpation or removal of temporal bone lesions including petrous apex disease, residual or recurrent cholesteatoma with extended dissection.
What is the wRVU value for CPT 69535?
The work RVU for CPT 69535 is 36.48. This code is primarily used by neurotology, otolaryngology, skull base surgery. It has a 90-day global period.
When is CPT 69535 used?
Used for petrous apex cholesteatoma, meningioma, cholesterol granuloma, or residual disease involving the petrous bone requiring neurological decompression.
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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.