CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 69910 RVU and Medicare Payment (2026)
Remove inner ear & mastoid — 13.56 work RVU, about $874.1 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 13.56
- PE RVU (non-facility)
- 10.63
- PE RVU (facility)
- 10.63
- MP RVU
- 1.98
- Office payment
- $874.1
- Facility payment
- $874.1
How the payment is calculated
Total RVU is work plus practice expense plus malpractice, each adjusted by its GPCI factor, then multiplied by the conversion factor. For 69910 in a non-facility setting with national GPCI: (13.56 + 10.63 + 1.98) × $33.4009 ≈ $874.1. The same code in a facility setting pays about $874.1 because facility PE RVU (10.63) replaces office PE RVU.
What changes by locality
GPCI moves 69910 non-facility payment from $791.96 to $1,093.94 across CMS localities — from Arkansas to Alaska. Check your exact locality in the GPCI calculator rather than using a state average.
Related codes
Checking a different code or locality? Open the full RVU calculator to run any of the 7,790 CPT/HCPCS codes with your own GPCI factors.
Frequently asked questions
What is the 2026 work RVU for CPT 69910?
13.56. Work RVU measures physician time, skill, and intensity — it does not change by setting or locality. Total payment adds practice expense and malpractice RVUs plus the conversion factor.
How much does Medicare pay for CPT 69910 in 2026?
About $874.1 non-facility ($874.1 facility) at national GPCI with the 2026 $33.4009 conversion factor. Your locality GPCI moves the number — see the range above.
Does the work RVU change between office and facility?
No. Work RVU (13.56) and malpractice RVU stay fixed; only practice expense changes (10.63 office vs 10.63 facility). That is the entire office-vs-facility payment gap.