CPT code 69620: Myringoplasty, tympanic membrane perforation2026 Medicare rate & RVUs
Myringoplasty repairs a tympanic membrane perforation when the operation is limited to closing the eardrum rather than reconstructing middle-ear structures.
Medicare pays $741.17 for 69620 nationally in the office and $451.91 in a hospital or facility. Local office rates run $654.36–$977.23.
Medicare rate · 69620
Myringoplasty, tympanic membrane perforation
- Work RVUs
- 5.88
- Total RVUs
- 22.19
- Global days
- 090
National rate · 2026
$741.17
Office setting, before claim adjustments.
See every locality for 69620 →Billed by an NP, PA or therapist? →
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 10 sections
What 69620 covers
An otolaryngologist performs myringoplasty to close a persistent perforation in the tympanic membrane, often after infection, trauma, or prior ear surgery. The repair may use a graft and may be approached through the ear canal or through an incision near the ear. It is generally performed in an operating room or ambulatory surgery setting. The defining feature is repair confined to the eardrum, rather than tympanoplasty involving middle-ear reconstruction.
Report 69620 when the operative record supports a surgical repair of the tympanic membrane perforation and does not describe a more extensive middle-ear reconstruction. Document the perforation, repair method, and structures treated. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and others at 50%. For bilateral surgery reported with modifier 50, payment is 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.
Where 69620 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$654.36 to $977.23
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $664.09 | $411.00 |
| Alaska | $859.84 | $551.79 |
| Arizona | $720.99 | $440.71 |
| Arkansas | $654.36 | $405.89 |
| Atlanta, GA | $755.85 | $461.97 |
| Austin, TX | $768.16 | $462.13 |
| Bakersfield, CA | $783.04 | $466.02 |
| Baltimore area, MD | $788.84 | $478.47 |
| Beaumont, TX | $692.69 | $429.47 |
| Brazoria, TX | $731.70 | $445.05 |
| Chicago, IL | $782.75 | $492.05 |
| Chico, CA | $780.53 | $463.51 |
| Colorado | $770.16 | $462.40 |
| Connecticut | $790.91 | $479.38 |
| Dallas, TX | $736.74 | $448.65 |
| Delaware | $733.02 | $447.24 |
| Detroit, MI | $743.05 | $463.92 |
| East St. Louis, IL | $729.37 | $463.26 |
| El Centro, CA | $780.67 | $463.65 |
| Fort Lauderdale, FL | $771.35 | $478.34 |
| Fort Worth, TX | $731.97 | $446.76 |
| Fresno, CA | $780.53 | $463.51 |
| Galveston, TX | $734.13 | $446.90 |
| Hanford, CA | $780.53 | $463.51 |
| Hawaii, Guam, HI | $799.58 | $470.71 |
| Houston, TX | $750.05 | $462.83 |
| Idaho | $684.60 | $418.48 |
| Indiana | $688.58 | $420.45 |
| Iowa | $679.81 | $415.14 |
| Kansas | $677.24 | $415.76 |
| Kentucky | $681.45 | $424.31 |
| King County, WA | $862.73 | $507.82 |
| Los Angeles, CA | $833.83 | $491.64 |
| Madera, CA | $780.53 | $463.51 |
| Manhattan, NY | $854.31 | $518.20 |
| Marin County, CA | $955.54 | $547.70 |
| Merced, CA | $780.53 | $463.51 |
| Metropolitan Boston, MA | $846.07 | $500.70 |
| Metropolitan Kansas City, MO | $709.04 | $437.43 |
| Metropolitan Philadelphia, PA | $771.45 | $470.34 |
| Metropolitan St. Louis, MO | $716.47 | $441.10 |
| Miami, FL | $806.74 | $505.63 |
| Minnesota | $735.66 | $438.02 |
| Mississippi | $661.90 | $412.85 |
| Modesto, CA | $780.53 | $463.51 |
| Montana | $741.11 | $451.86 |
| Napa, CA | $903.24 | $522.00 |
| Nebraska | $683.38 | $416.40 |
| Nevada | $736.83 | $447.29 |
| New Hampshire | $758.68 | $457.57 |
| New Mexico | $704.20 | $438.96 |
| New Orleans, LA | $714.69 | $442.51 |
| North Carolina | $696.12 | $426.25 |
| North Dakota | $723.91 | $434.65 |
| Northern New Jersey | $838.03 | $502.50 |
| NYC suburbs and Long Island, NY | $876.11 | $532.19 |
| Ohio | $696.53 | $432.44 |
| Oklahoma | $679.50 | $421.20 |
| Oxnard, CA | $829.57 | $487.67 |
| Portland, OR | $794.11 | $472.75 |
| Poughkeepsie and northern NYC suburbs, NY | $805.10 | $488.37 |
| Puerto Rico | $746.40 | $453.97 |
| Queens, NY | $860.44 | $518.54 |
| Redding, CA | $780.53 | $463.51 |
| Rest of California | $780.53 | $463.51 |
| Rest of Florida | $733.09 | $456.57 |
| Rest of Georgia | $691.05 | $433.04 |
| Rest of Illinois | $712.66 | $448.57 |
| Rest of Louisiana | $680.64 | $424.65 |
| Rest of Maine | $688.92 | $422.81 |
| Rest of Maryland | $746.94 | $454.21 |
| Rest of Massachusetts | $765.74 | $461.16 |
| Rest of Michigan | $700.05 | $435.96 |
| Rest of Missouri | $669.24 | $419.91 |
| Rest of New Jersey | $799.29 | $483.42 |
| Rest of New York | $706.75 | $431.96 |
| Rest of Oregon | $730.47 | $442.38 |
| Rest of Pennsylvania | $697.28 | $431.75 |
| Rest of Texas | $712.05 | $437.55 |
| Rest of Washington | $764.11 | $459.52 |
| Rhode Island | $758.78 | $459.98 |
| Riverside, CA | $789.94 | $472.92 |
| Sacramento, CA | $818.81 | $482.41 |
| Salinas, CA | $815.77 | $480.53 |
| San Benito County, CA | $977.23 | $560.13 |
| San Diego, CA | $834.83 | $488.88 |
| San Francisco, CA | $954.56 | $546.71 |
| San Luis Obispo, CA | $802.71 | $473.25 |
| Santa Clara County, CA | $973.19 | $556.09 |
| Santa Cruz, CA | $842.68 | $491.24 |
| Santa Maria, CA | $818.79 | $481.52 |
| Santa Rosa, CA | $851.16 | $495.96 |
| South Carolina | $697.61 | $430.34 |
| South Dakota | $721.87 | $432.62 |
| Southern Maine, ME | $725.80 | $439.15 |
| Stockton, CA | $780.53 | $463.51 |
| Suburban Chicago, IL | $778.90 | $481.84 |
| Tennessee | $680.78 | $417.85 |
| Utah | $707.26 | $435.36 |
| Vallejo, CA | $901.81 | $520.58 |
| Vermont | $721.65 | $435.29 |
| Virgin Islands, VI | $746.40 | $453.97 |
| Virginia | $723.86 | $439.52 |
| Visalia, CA | $780.53 | $463.51 |
| Washington, DC area | $846.85 | $506.11 |
| West Virginia | $686.13 | $434.77 |
| Wisconsin | $699.40 | $422.29 |
| Wyoming | $733.61 | $444.36 |
| Yuba City, CA | $780.53 | $463.51 |
69620 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$654.36
$878.88
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $859.84 | 1 |
| AL | $664.09 | 1 |
| AR | $654.36 | 1 |
| AZ | $720.99 | 1 |
| CA | $780.53–$977.23 | 29 |
| CO | $770.16 | 1 |
| CT | $790.91 | 1 |
| DC | $846.85 | 1 |
| DE | $733.02 | 1 |
| FL | $733.09–$806.74 | 3 |
| GA | $691.05–$755.85 | 2 |
| GU | $799.58 | 1 |
| HI | $799.58 | 1 |
| IA | $679.81 | 1 |
| ID | $684.60 | 1 |
| IL | $712.66–$782.75 | 4 |
| IN | $688.58 | 1 |
| KS | $677.24 | 1 |
| KY | $681.45 | 1 |
| LA | $680.64–$714.69 | 2 |
| MA | $765.74–$846.07 | 2 |
| MD | $746.94–$846.85 | 3 |
| ME | $688.92–$725.80 | 2 |
| MI | $700.05–$743.05 | 2 |
| MN | $735.66 | 1 |
| MO | $669.24–$716.47 | 3 |
| MS | $661.90 | 1 |
| MT | $741.11 | 1 |
| NC | $696.12 | 1 |
| ND | $723.91 | 1 |
| NE | $683.38 | 1 |
| NH | $758.68 | 1 |
| NJ | $799.29–$838.03 | 2 |
| NM | $704.20 | 1 |
| NV | $736.83 | 1 |
| NY | $706.75–$876.11 | 5 |
| OH | $696.53 | 1 |
| OK | $679.50 | 1 |
| OR | $730.47–$794.11 | 2 |
| PA | $697.28–$771.45 | 2 |
| PR | $746.40 | 1 |
| RI | $758.78 | 1 |
| SC | $697.61 | 1 |
| SD | $721.87 | 1 |
| TN | $680.78 | 1 |
| TX | $692.69–$768.16 | 8 |
| UT | $707.26 | 1 |
| VA | $723.86–$846.85 | 2 |
| VI | $746.40 | 1 |
| VT | $721.65 | 1 |
| WA | $764.11–$862.73 | 2 |
| WI | $699.40 | 1 |
| WV | $686.13 | 1 |
| WY | $733.61 | 1 |
How the 69620 rate is calculated
Each of 69620’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.
How the rate is built · 69620
RVUs × geographic indexes × conversion factor
Work5.88
5.88 RVUs× 1.000 GPCI
Practice expense15.44
15.44 RVUs× 1.000 GPCI
Malpractice0.87
0.87 RVUs× 1.000 GPCI
Adjusted RVUs
22.1900
Conversion factor
$33.4009
Medicare rate
$741.17
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 69620
69620 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 69620
Myringoplasty, tympanic membrane perforation
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.07/0.79/0.14 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 69620
Myringoplasty, tympanic membrane perforation
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
69620 without 50 · national office
$741.17
Myringoplasty, tympanic membrane perforation
69620-50 · Bilateral: 150%
$1,111.76
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
69620 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 69610Eardrum repairPatch or perforation preparation
- 69610 covers tympanic membrane repair such as patching. Use 69620 for surgical myringoplasty, based on the method and extent documented in the operative report.
- 69631TympanoplastyNo mastoidectomy or chain reconstruction
- 69631 is for tympanoplasty without ossicular chain reconstruction and includes middle-ear surgery. 69620 is limited to repair of the tympanic membrane.
- 69632TympanoplastyWithout mastoidectomy, with ossicular reconstruction
- 69632 includes tympanoplasty with ossicular chain reconstruction. Choose 69620 when the procedure is confined to closing the tympanic membrane perforation.
69620 billing questions
How is 69620 different from 69610?
69620 describes surgical myringoplasty to close a tympanic membrane perforation. 69610 is used for tympanic membrane repair such as a patch procedure; select based on the service actually performed and documented.
When should a tympanoplasty code be considered instead?
Consider 69631 or a related tympanoplasty code when the operation extends beyond the eardrum into middle-ear surgery or reconstruction. The operative report should identify the structures treated and any reconstruction performed.
How is bilateral myringoplasty reported?
CMS recognizes modifier 50 for bilateral reporting and pays the procedure at 150%. Document the repair performed on each ear.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be billed?
CMS restricts assistant-at-surgery payment for this code. Co-surgeon and team-surgery billing are not permitted.
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
Show the CMS file lines behind this rate
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