69646 Revise middle ear & mastoid
Also known as: revision ossiculoplasty with OI implant, revision with dual reconstruction
Revision of middle ear and mastoid with ossiculoplasty and osseointegrated device implantation for comprehensive hearing restoration.
In Plain Language
redo surgery with ear bone and hearing implant repair
Clinical Context
Used for revision cases requiring both ossicular reconstruction and osseointegrated device for optimal hearing outcomes.
RVU Breakdown
| Work RVU | 17.91 |
| Total RVU | 17.91 |
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 17.91, this code ranks in the 79th percentile among Surgery codes — 2.2x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 69646?
CPT 69646 (Revise middle ear & mastoid) is a Surgery code. Revision of middle ear and mastoid with ossiculoplasty and osseointegrated device implantation for comprehensive hearing restoration.
What is the wRVU value for CPT 69646?
The work RVU for CPT 69646 is 17.91. This code is primarily used by otolaryngology, surgical otology, neurotology. It has a 90-day global period.
When is CPT 69646 used?
Used for revision cases requiring both ossicular reconstruction and osseointegrated device for optimal hearing outcomes.
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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.