Common office procedures

69210 - RVUs & Medicare payment (2026)

Removal of impacted earwax, unilateral.

Component	Non-facility	Facility
Work RVU	0.59	0.59
Practice expense RVU	0.77	0.15
Malpractice RVU	0.07	0.07
Total RVUs	1.43	0.81
National payment (CF $33.4009)	$47.76	$27.05
Qualifying APM payment (CF $33.5675)	$48.00	$27.19

How 69210 payment varies by locality

Medicare adjusts payment with geographic practice cost indices, so the same code pays differently across the 109 fee schedule localities. In 2026, non-facility payment for 69210 ranges from $43.00 in Arkansas (AR) to $60.21 in San Jose-Sunnyvale-Santa Clara (CA); calculate 69210 for your locality.

San Jose-Sunnyvale-Santa Clara (CA) $60.21 San Jose-Sunnyvale-Santa Clara (CA) $59.89 San Francisco-Oakland-Berkeley (CA) $58.92 San Francisco-Oakland-Berkeley (CA) $58.84 Alaska (AK) $58.24 Napa (CA) $56.03 Vallejo (CA) $55.92 NYC Suburbs/Long Island (NY) $55.89 National average $47.76 … 97 more localities between … Kansas (KS) $44.13 Mississippi (MS) $43.58 Alabama (AL) $43.53 Arkansas (AR) $43.00

Non-facility payment for 69210 in the 2026 fee schedule ($33.4009 conversion factor), before sequestration. Gray bar = national average.

Global period: 000

Same-day global period: related visits on the day of the procedure are included in the payment.

Related codes - common office procedures

10060 · incision and drainage of abscess, simple
11102 · skin biopsy, tangential, first lesion
11104 · skin biopsy, punch, first lesion
11200 · removal of skin tags, up to 15
11730 · nail plate avulsion, partial or complete, first
11042 · debridement, subcutaneous tissue, first 20 sq cm
12001 · simple wound repair, scalp/trunk/extremities, 2.5 cm or less
17000 · destruction of premalignant lesion, first
17003 · destruction of premalignant lesions, 2-14, each
17110 · destruction of benign lesions, up to 14
20610 · aspiration or injection of major joint (knee, shoulder, hip)
20552 · trigger point injection, 1-2 muscles

Frequently asked questions

How much does Medicare pay for 69210 in 2026?

The national non-facility payment is $47.76 and the facility payment is $27.05, using the standard $33.4009 conversion factor. Actual amounts vary by Medicare locality; use the RVU calculator for your area.

What is the work RVU for 69210?

The 2026 work RVU for 69210 is 0.59. Total RVUs are 1.43 in the non-facility setting and 0.81 in the facility setting.

Why are the facility and non-facility amounts different?

Only the practice expense component changes by setting. In an office (non-facility) the practice bears the overhead, so the PE RVU is higher; in a hospital or ASC the facility bills its own overhead separately.

Source: CMS Physician Fee Schedule relative value file (rvu26c.zip, retrieved 2026-07-11). Service description is an original plain-English summary, not CPT descriptor text. CPT® is a registered trademark of the American Medical Association. Amounts are estimates before sequestration and claim-level adjustments.