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CPT code 69620: Myringoplasty, tympanic membrane perforation2026 Medicare rate & RVUs in Iowa

Myringoplasty repairs a tympanic membrane perforation when the operation is limited to closing the eardrum rather than reconstructing middle-ear structures.

CMS RVU26DEffective Oct 1, 2026One payment locality695 Medicare services in 2024

In Iowa, Medicare pays $679.81 for 69620 in the office and $415.14 when it’s performed in a hospital or facility.

$679.81Office (non-facility)
$415.14Hospital or facility
−8.3%vs the national office rate ($741.17)

Check a contract rate as a % of Medicare · 69620 nationwide

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

We’ll open 69620 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Iowa
  2. What 69620 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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.

How Iowa compares for 69620

Across 109 of 109 payment localities, the office rate for 69620 runs from $654.36 in Arkansas to $977.23 in San Benito County, CA. Iowa pays $679.81. The RVUs are the same everywhere; the geographic indexes change the dollars.

69620 in Iowa vs other payment areas
  1. Iowa · this page$679.81
  2. Los Angeles, CA · California$833.83+$154.02
  3. Washington, DC area · District of Columbia$846.85+$167.04
  4. Miami, FL · Florida$806.74+$126.93
  5. Chicago, IL · Illinois$782.75+$102.94
  6. Manhattan, NY · New York$854.31+$174.50
  7. Alaska · Alaska$859.84+$180.03

Other areas in Iowa first, then benchmark localities. Bars start at $0.

Every other payment area

69620 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$664.09$411.00
ArkansasArkansas$654.36$405.89
ArizonaArizona$720.99$440.71
Bakersfield, CACalifornia$783.04$466.02
Chico, CACalifornia$780.53$463.51
El Centro, CACalifornia$780.67$463.65
Fresno, CACalifornia$780.53$463.51
Hanford, CACalifornia$780.53$463.51

69620 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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
69620 office rate range by state
State / territoryOffice rate rangeLocalities
AK$859.841
AL$664.091
AR$654.361
AZ$720.991
CA$780.53–$977.2329
CO$770.161
CT$790.911
DC$846.851
DE$733.021
FL$733.09–$806.743
GA$691.05–$755.852
GU$799.581
HI$799.581
IA$679.811
ID$684.601
IL$712.66–$782.754
IN$688.581
KS$677.241
KY$681.451
LA$680.64–$714.692
MA$765.74–$846.072
MD$746.94–$846.853
ME$688.92–$725.802
MI$700.05–$743.052
MN$735.661
MO$669.24–$716.473
MS$661.901
MT$741.111
NC$696.121
ND$723.911
NE$683.381
NH$758.681
NJ$799.29–$838.032
NM$704.201
NV$736.831
NY$706.75–$876.115
OH$696.531
OK$679.501
OR$730.47–$794.112
PA$697.28–$771.452
PR$746.401
RI$758.781
SC$697.611
SD$721.871
TN$680.781
TX$692.69–$768.168
UT$707.261
VA$723.86–$846.852
VI$746.401
VT$721.651
WA$764.11–$862.732
WI$699.401
WV$686.131
WY$733.611

See 69620 in every payment locality

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

Office or facility?

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.

The exact Iowa inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,624

Code
69620
Physician work
5.88
Practice expense
15.44
Malpractice
0.87

GPCI2026.csv

53

Locality
Iowa
Physician work
1.000
Practice expense
0.915
Malpractice
0.397
Office calculation for 69620 in Iowa
ComponentRVULocality factorAdjusted
Physician work5.88× 1.0005.8800
Practice expense15.44× 0.91514.1276
Malpractice0.87× 0.3970.3454
Total RVUs20.3530
Conversion factor× 33.4009

Office rate, Iowa$679.81

Office: (5.88 × 1 + 15.44 × 0.915 + 0.87 × 0.397) × $33.4009 = $679.81

Facility: (5.88 × 1 + 6.78 × 0.915 + 0.87 × 0.397) × $33.4009 = $415.14

Open 69620 in the RVU calculator

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

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.07/0.79/0.14Share 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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

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).

When to use modifier 50

Codes related to 69620

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

Codes related to 69620
CodeHow it relatesOffice range, Iowa
Used instead
69610Eardrum repair, patch or perforation preparationTympanic membrane repair such as patching; distinguish the documented procedure from surgical myringoplasty.$351.28
69631Tympanoplasty, no mastoidectomy or chain reconstructionTympanoplasty without ossicular chain reconstruction when the operation includes middle-ear work.No office rate
69632Tympanoplasty, without mastoidectomy, with ossicular reconstructionTympanoplasty with ossicular chain reconstruction when that reconstruction is performed.No office rate

How 69620 has changed in Iowa

69620 · Office / nonfacility

$679.81

Effective 2026-10-01

The base rate is $19.02 higher than on 2025-10-01, moving from $660.79 to $679.81 (2.9%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $660.79changed to$679.81

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 6.03 changed to 5.88
    • Practice expense RVU 15.33 changed to 15.44
    • Malpractice RVU 0.88 changed to 0.87
    • Practice expense GPCI 0.913 changed to 0.915
    • Malpractice GPCI 0.457 changed to 0.397

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $684.42changed to$660.79

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 15.47 changed to 15.33
    • Malpractice RVU 0.89 changed to 0.88

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $673.25changed to$684.42

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $698.25changed to$673.25

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 15.60 changed to 15.47
    • Malpractice RVU 0.86 changed to 0.89
    • Practice expense GPCI 0.910 changed to 0.913
    • Malpractice GPCI 0.441 changed to 0.457

  5. January 1, 2023

    RVU23A

    $707.04changed to$698.25

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 15.47 changed to 15.60
    • Malpractice RVU 0.87 changed to 0.86
    • Practice expense GPCI 0.907 changed to 0.910
    • Malpractice GPCI 0.425 changed to 0.441

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $693.34changed to$707.04

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 14.88 changed to 15.47
    • Malpractice RVU 0.81 changed to 0.87

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $662.25changed to$693.34

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 13.20 changed to 14.88
    • Malpractice RVU 0.82 changed to 0.81
    • Malpractice GPCI 0.424 changed to 0.425

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $653.25changed to$662.25

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 12.94 changed to 13.20
    • Malpractice RVU 0.85 changed to 0.82
    • Malpractice GPCI 0.423 changed to 0.424

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $640.76changed to$653.25

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 12.57 changed to 12.94
    • Malpractice RVU 0.87 changed to 0.85

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $645.22changed to$640.76

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 12.81 changed to 12.57
    • Malpractice RVU 0.86 changed to 0.87
    • Practice expense GPCI 0.902 changed to 0.907
    • Malpractice GPCI 0.458 changed to 0.423

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $650.73changed to$645.22

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 13.07 changed to 12.81
    • Malpractice RVU 0.88 changed to 0.86
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 0.493 changed to 0.458

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $649.86changed to$650.73

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 12.97 changed to 13.07

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $646.62changed to$649.86

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $644.79changed to$646.62

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 13.03 changed to 12.97
    • Malpractice RVU 0.73 changed to 0.88
    • Practice expense GPCI 0.892 changed to 0.896
    • Malpractice GPCI 0.475 changed to 0.493

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $655.44changed to$644.79

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 14.53 changed to 13.03
    • Malpractice RVU 0.76 changed to 0.73
    • Practice expense GPCI 0.887 changed to 0.892
    • Malpractice GPCI 0.456 changed to 0.475

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $655.44

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$679.81$415.14RVU26D
2026-07-01$679.81$415.14RVU26C
2026-04-01$679.81$415.14RVU26B
2026-01-01$679.81$415.14RVU26A
2025-10-01$660.79$447.27RVU25D
2025-07-01$660.79$447.27RVU25C
2025-04-01$660.79$447.27RVU25B
2025-01-01$660.79$447.27RVU25A
2024-10-01$684.42$458.91RVU24D
2024-07-01$684.42$458.91RVU24C
2024-04-01$684.42$458.91RVU24B
2024-03-09$684.42$458.91RVU24AR
2024-01-01$673.25$451.42RVU24A
2023-10-01$698.25$464.82RVU23D
2023-07-01$698.25$464.82RVU23C
2023-04-01$698.25$464.82RVU23B
2023-01-01$698.25$464.82RVU23A
2022-10-01$707.04$467.55RVU22D
2022-07-01$707.04$467.55RVU22C
2022-04-01$707.04$467.55RVU22B
2022-01-01$707.04$467.55RVU22A
2021-10-01$693.34$462.94RVU21D
2021-07-01$693.34$462.94RVU21C
2021-04-01$693.34$462.94RVU21B
2021-01-01$693.34$462.94RVU21A
2020-10-01$662.25$460.94RVU20D
2020-07-01$662.25$460.94RVU20C
2020-04-01$662.25$460.94RVU20B
2020-01-01$662.25$460.94RVU20A
2019-10-01$653.25$459.41RVU19D
2019-07-01$653.25$459.41RVU19C
2019-04-01$653.25$459.41RVU19B
2019-01-01$653.25$459.41RVU19A
2018-10-01$640.76$455.30RVU18D
2018-07-01$640.76$455.30RVU18C
2018-04-01$640.76$455.30RVU18B
2018-01-01$640.76$455.30RVU18AR1
2017-10-01$645.22$459.41RVU17D
2017-07-01$645.22$459.41RVU17C
2017-04-01$645.22$459.41RVU17B
2017-01-01$645.22$459.41RVU17A
2016-10-01$650.73$463.38RVU16D
2016-07-01$650.73$463.38RVU16C
2016-04-01$650.73$463.38RVU16B
2016-01-01$650.73$463.38RVU16A
2015-10-01$649.86$462.79RVU15D
2015-07-01$649.86$462.79RVU15C
2015-04-01$646.62$460.49RVU15B
2015-01-01$646.62$460.49RVU15A
2014-10-01$644.79$460.42RVU14D
2014-07-01$644.79$460.42RVU14C
2014-04-01$644.79$460.42RVU14B
2014-01-01$644.79$460.42RVU14A
2013-10-01$655.44$459.28RVU13D
2013-07-01$655.44$459.28RVU13C
2013-04-01$655.44$459.28RVU13B
2013-01-01$655.44$459.28RVU13AR

Price 69620 for an earlier date of service

Where the Iowa rate applies

Iowa is a Medicare payment area, not a city. Our Census mapping connects it to 1026 cities and communities in Iowa. Some span more than one payment area; confirm with the service ZIP.

  • Ackley
  • Ackworth
  • Adair
  • Adel
  • Afton
  • Agency
  • Ainsworth
  • Akron

Browse all communities in Iowa

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
RVUs for 69620PPRRVU2026_Oct_nonQPP.csv, line 7,624 (RVU26D)
Geographic factors for IowaGPCI2026.csv, line 53 (RVU26D)

Open CMS sourceHow we calculate rates

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