CPT code 69610: Eardrum repair, patch or perforation preparation2026 Medicare rate & RVUs in North Dakota

In North Dakota, Medicare pays $369.81 for 69610 in the office and $237.20 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 69610 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 69610 covers

An otolaryngologist uses this service for a limited repair of a tympanic membrane perforation, often by preparing the perforation margin and applying a patch. It is commonly performed in an office or outpatient setting for a persistent eardrum opening when a patch-based repair is appropriate. The service may include preparation of the perforation site; a patch may or may not be used.

Choose this code when the documented work is limited to the eardrum repair, rather than a more extensive tympanoplasty involving middle-ear reconstruction. The operative note should identify the perforation, the repair technique, and whether site preparation or a patch was used. Related postoperative visits during the 10-day global period are included. If multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction. For bilateral repair, modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How North Dakota compares for 69610

Across 109 of 109 payment localities, the office rate for 69610 runs from $341.64 in Arkansas to $483.89 in San Benito County, CA. North Dakota pays $369.81. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

69610 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 69610 in every payment locality

How the 69610 rate is calculated

Each of 69610’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 69610

69610 has a 10-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

Codes related to 69610

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 69610 has changed in North Dakota

Price 69610 for an earlier date of service

Where the North Dakota rate applies

North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.

• Abercrombie
• Adams
• Alamo
• Alexander
• Alice
• Almont
• Alsen
• Ambrose

Browse all communities in North Dakota

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates