69642 Revise middle ear & mastoid
Also known as: revision mastoid ossiculoplasty, revision ossicular reconstruction
Revision of middle ear and mastoid surgery with ossicular reconstruction, addressing disease recurrence while restoring ossicular chain continuity.
In Plain Language
redo surgery with ear bone repair
Clinical Context
Used for recurrent disease with ossicular discontinuity or previous ossiculoplasty failure.
RVU Breakdown
| Work RVU | 16.63 |
| Total RVU | 16.63 |
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 16.63, this code ranks in the 76th percentile among Surgery codes — 2.1x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 69642?
CPT 69642 (Revise middle ear & mastoid) is a Surgery code. Revision of middle ear and mastoid surgery with ossicular reconstruction, addressing disease recurrence while restoring ossicular chain continuity.
What is the wRVU value for CPT 69642?
The work RVU for CPT 69642 is 16.63. This code is primarily used by otolaryngology, surgical otology. It has a 90-day global period.
When is CPT 69642 used?
Used for recurrent disease with ossicular discontinuity or previous ossiculoplasty failure.
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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.