CPT 69420
Incision of eardrum
Last reviewed August 2026 · DataLily AI data team
Pilot Analysis
Get the complete CPT 69420 analysis
Tell us where to send it. Our team will prepare an analysis of CPT 69420 covering what payers reimburse across markets and where your rate may sit, and email it to you within 5-10 business days. Need it faster? Book a demo.
CPT 69420 at a glance
- Code
- 69420
- Code type
- CPT/HCPCS
- Short descriptor
- Incision of eardrum
- Category
- ASC Surgical
- ASC eligibility
- ASC-eligible (surgical)
- Typical setting
- Ambulatory surgery center (POS 24); also commonly performed in an office or clinic (POS 11).
- Medicare ASC rate
- $129.50 national · 2026Q2
What is CPT code 69420?
CPT 69420 is a CPT/HCPCS procedure code for incision of eardrum. Its official short descriptor is "Incision of eardrum". In the ASC context it is grouped under ASC Surgical.
Is CPT 69420 eligible in an ambulatory surgery center (ASC)?
CPT 69420 can be performed in a certified ambulatory surgery center.
Where is CPT 69420 typically performed?
Ambulatory surgery center (POS 24); also commonly performed in an office or clinic (POS 11).
What is the Medicare ASC payment rate for CPT 69420?
The national Medicare ASC payment rate for CPT 69420 is $129.50 (Medicare ASC Payment System, 2026Q2). This is the national, unadjusted Medicare amount; the amount an individual ambulatory surgery center is paid is adjusted for local wage index and may differ. It reflects Medicare's facility payment only and does not include the surgeon's professional fee.
Which specialties use CPT 69420?
CPT 69420 is most associated with Otolaryngology (ENT).
Reference information about ASC eligibility and typical procedure setting. Codes, descriptors, and ASC-eligibility status change over time. This is a coding reference, not billing, coding, or legal advice. Always verify against current guidance and individual payer policy before scheduling or billing. CPT is a registered trademark of the American Medical Association. Read the DataLily AI data methodology.