69676 Remove middle ear nerve
Also known as: facial nerve removal, facial nerve transposition, facial nerve decompression
Surgical removal or transposition of the facial nerve (cranial nerve VII) in the temporal bone to treat facial nerve paralysis or injury.
In Plain Language
surgery to move or fix the facial nerve
Clinical Context
Used for traumatic facial nerve injury, bell's palsy with complete paralysis, post-operative facial nerve injury, or facial nerve canal widening.
RVU Breakdown
| Work RVU | 9.45 |
| Total RVU | 9.45 |
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 9.45, this code ranks in the 56th percentile among Surgery codes — 1.2x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 69676?
CPT 69676 (Remove middle ear nerve) is a Surgery code. Surgical removal or transposition of the facial nerve (cranial nerve VII) in the temporal bone to treat facial nerve paralysis or injury.
What is the wRVU value for CPT 69676?
The work RVU for CPT 69676 is 9.45. This code is primarily used by neurotology, otolaryngology, skull base surgery. It has a 90-day global period.
When is CPT 69676 used?
Used for traumatic facial nerve injury, bell's palsy with complete paralysis, post-operative facial nerve injury, or facial nerve canal widening.
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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.