CPT 69711
Global 090 ActiveRemove/repair hearing aid
CPT 69711 Billing & Documentation Guide
CPT code 69711 (Remove/repair hearing aid) is classified under Surgery (Endocrine/Nervous/Eye/Ear) with a global period indicator of 090. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 10.35, a non-facility practice expense RVU of 10.6, and a malpractice RVU of 1.5, a total non-facility RVU of 22.45 and facility RVU of 22.45. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $765.15, though rates vary from $675.63 to $923.22 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 69711, 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 69711 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
90-day global period (major surgery: 1 day pre-op + procedure + 90 days post-op)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 69711 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 69711
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 10.35 | 10.35 |
| Practice Expense RVU | 10.6 | 10.6 |
| Malpractice RVU | 1.5 | 1.5 |
| Total RVU | 22.45 | 22.45 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 69711
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 | $804.2 | $804.2 | $766.47 - $921.12 | 29 |
| Florida | $798.46 | $798.46 | $759.47 - $840.97 | 3 |
| Georgia | $743.93 | $743.93 | $721.23 - $766.62 | 2 |
| Illinois | $784.75 | $784.75 | $747.25 - $818.92 | 4 |
| Michigan | $748.67 | $748.67 | $725.51 - $771.83 | 2 |
| North Carolina | $708.04 | $708.04 | $708.04 - $708.04 | 1 |
| New York | $825.18 | $825.18 | $717.27 - $881.83 | 5 |
| Ohio | $719.45 | $719.45 | $719.45 - $719.45 | 1 |
| Pennsylvania | $749.16 | $749.16 | $718.06 - $780.26 | 2 |
| Texas | $742.7 | $742.7 | $714.43 - $768.98 | 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 69711
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 69711 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 |
| 0228T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0230T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0597T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0708T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0709T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0726T | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
| 0903T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 69711
What does CPT code 69711 mean? +
CPT code 69711 represents: Remove/repair hearing aid. It's in the Surgery (Endocrine/Nervous/Eye/Ear) category with a global period of 090.
What is the Medicare reimbursement for CPT 69711? +
The 2026 Medicare national average non-facility payment for CPT 69711 is $765.15. Rates range from $675.63 to $923.22 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 69711? +
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 69711? +
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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