Specialty rate rollup
Otolaryngology (ENT)
Ear, nose, and throat office procedures and common surgeries.
Current national rates
Q3 2026 releaseNon-facility amounts, GPCI 1.000, before sequestration. Change is versus the prior release.
| Code | Status | National amount | Change |
|---|---|---|---|
| 99213 Established Patient Office Visit, Level 3 | Active | $95.19 | — |
| 99214 Established Patient Office Visit, Level 4 | Active | $135.61 | — |
| 69210 Impacted Earwax Removal, Instrumentation | Active | $47.76 | — |
| 31237 Nasal/Sinus Endoscopy with Debridement | Active | $266.54 | — |
| 92557 Comprehensive Audiometry | Active | $35.74 | — |
| 42820 Tonsillectomy and Adenoidectomy, Under Age 12 | Active | $260.86 | — |
Need a locality-adjusted rate or a specific setting? Use the rate calculator. Every code above also has its own page with a contracted-rate (% of Medicare) table and a full RVU breakdown.
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Model Otolaryngology (ENT)'s blended payer mix
Blended-rate modeling across a specialty's payer mix is on our roadmap — join the waitlist to hear when it ships, or get these rates by API today.
Get notified when Otolaryngology (ENT) rates change
Medicare updates the fee schedule every quarter. We'll email you when a release moves rates, tagged to Otolaryngology (ENT).
Source & method
National amounts computed from the CMS Medicare Physician Fee Schedule Q3 2026 release, GPCI 1.000, before the ~2% sequestration cut. This code list is our own clean-room grouping by common clinical scenario, not the AMA's code-family taxonomy. A code with no amount shown is either not separately payable under the PFS or was not in this release — never a fake $0.