CPT 69706
Global 000 ActiveNps surg dilat eust tube bi
CPT 69706 Billing & Documentation Guide
CPT code 69706 (Nps surg dilat eust tube bi) 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 4.16, a non-facility practice expense RVU of 74.9, and a malpractice RVU of 0.6, a total non-facility RVU of 79.66 and facility RVU of 6.15. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $2769.83, though rates vary from $2298.25 to $3772.46 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 69706, 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 69706 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 69706 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 69706
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 4.16 | 4.16 |
| Practice Expense RVU | 74.9 | 1.39 |
| Malpractice RVU | 0.6 | 0.6 |
| Total RVU | 79.66 | 6.15 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 69706
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 | $3115.03 | $209.73 | $2893.94 - $3772.46 | 29 |
| Florida | $2688.03 | $224.54 | $2560.72 - $2793.93 | 3 |
| Georgia | $2549.79 | $207.43 | $2394.38 - $2705.19 | 2 |
| Illinois | $2595.03 | $222.59 | $2454.35 - $2744.71 | 4 |
| Michigan | $2516.28 | $210.75 | $2445.65 - $2586.9 | 2 |
| North Carolina | $2485.87 | $195.07 | $2485.87 - $2485.87 | 1 |
| New York | $2963.71 | $224.58 | $2529.68 - $3159.61 | 5 |
| Ohio | $2443.23 | $201.54 | $2443.23 - $2443.23 | 1 |
| Pennsylvania | $2612.06 | $207.1 | $2454.47 - $2769.66 | 2 |
| Texas | $2621.28 | $204.03 | $2434.14 - $2803.81 | 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 69706
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 69706 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 69706
What does CPT code 69706 mean? +
CPT code 69706 represents: Nps surg dilat eust tube bi. It's in the Surgery (Endocrine/Nervous/Eye/Ear) category with a global period of 000.
What is the Medicare reimbursement for CPT 69706? +
The 2026 Medicare national average non-facility payment for CPT 69706 is $2769.83. Rates range from $2298.25 to $3772.46 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 69706? +
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 69706? +
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 June 2, 2026.
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