69641 Revise middle ear & mastoid
Also known as: middle ear revision surgery, mastoid revision, revision cholesteatoma surgery
Revision of middle ear and mastoid surgery to address recurrent disease, residual cholesteatoma, or complications from previous canal wall up procedures.
In Plain Language
redo surgery for middle ear problems
Clinical Context
Used for recurrent cholesteatoma after canal wall up surgery, residual disease, or inadequate initial disease eradication.
RVU Breakdown
| Work RVU | 12.57 |
| Total RVU | 12.57 |
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 12.57, this code ranks in the 66th 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 69641?
CPT 69641 (Revise middle ear & mastoid) is a Surgery code. Revision of middle ear and mastoid surgery to address recurrent disease, residual cholesteatoma, or complications from previous canal wall up procedures.
What is the wRVU value for CPT 69641?
The work RVU for CPT 69641 is 12.57. This code is primarily used by otolaryngology, surgical otology. It has a 90-day global period.
When is CPT 69641 used?
Used for recurrent cholesteatoma after canal wall up surgery, residual disease, or inadequate initial disease eradication.
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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.