CPT 69705
Global 000 ActiveNps surg dilat eust tube uni
CPT 69705 Billing & Documentation Guide
CPT code 69705 (Nps surg dilat eust tube uni) is classified under Surgery (Endocrine/Nervous/Eye/Ear) with a global period indicator of 000. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 2.93, a non-facility practice expense RVU of 73.58, and a malpractice RVU of 0.43, a total non-facility RVU of 76.94 and facility RVU of 4.44. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $2677.03, though rates vary from $2216.37 to $3660.24 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 69705, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 69705 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Endoscopic or minor procedure with related preoperative and postoperative work performed on the same day
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 69705 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 69705
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 2.93 | 2.93 |
| Practice Expense RVU | 73.58 | 1.08 |
| Malpractice RVU | 0.43 | 0.43 |
| Total RVU | 76.94 | 4.44 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 69705
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $3017.23 | $151.84 | $2800.8 - $3660.24 | 29 |
| Florida | $2591.65 | $162.02 | $2468.95 - $2692.59 | 3 |
| Georgia | $2459.79 | $149.61 | $2307.2 - $2612.37 | 2 |
| Illinois | $2500.35 | $160.51 | $2364.14 - $2647.99 | 4 |
| Michigan | $2425.8 | $151.95 | $2357.9 - $2493.7 | 2 |
| North Carolina | $2400.02 | $140.7 | $2400.02 - $2400.02 | 1 |
| New York | $2863.77 | $162.27 | $2442.72 - $3052.93 | 5 |
| Ohio | $2356.17 | $145.28 | $2356.17 - $2356.17 | 1 |
| Pennsylvania | $2521.36 | $149.43 | $2367.55 - $2675.16 | 2 |
| Texas | $2531.29 | $147.26 | $2347.66 - $2710.97 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 69705
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 69705 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0583T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0708T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0709T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0903T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0904T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0905T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 11000 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 11001 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 69705
What does CPT code 69705 mean? +
CPT code 69705 represents: Nps surg dilat eust tube uni. It's in the Surgery (Endocrine/Nervous/Eye/Ear) category with a global period of 000.
What is the Medicare reimbursement for CPT 69705? +
The 2026 Medicare national average non-facility payment for CPT 69705 is $2677.03. Rates range from $2216.37 to $3660.24 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 69705? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 69705? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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