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

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 South Dakota, Medicare pays $721.87 for 69620 in the office and $432.62 when it’s performed in a hospital or facility.

$721.87Office (non-facility)
$432.62Hospital or facility
−2.6%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 South Dakota
  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 South Dakota 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. South Dakota pays $721.87. The RVUs are the same everywhere; the geographic indexes change the dollars.

69620 in South Dakota vs other payment areas
  1. South Dakota · this page$721.87
  2. Los Angeles, CA · California$833.83+$111.96
  3. Washington, DC area · District of Columbia$846.85+$124.98
  4. Miami, FL · Florida$806.74+$84.87
  5. Chicago, IL · Illinois$782.75+$60.88
  6. Manhattan, NY · New York$854.31+$132.44
  7. Alaska · Alaska$859.84+$137.97

Other areas in South Dakota 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.

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 South Dakota 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

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Office calculation for 69620 in South Dakota
ComponentRVULocality factorAdjusted
Physician work5.88× 1.0005.8800
Practice expense15.44× 1.00015.4400
Malpractice0.87× 0.3360.2923
Total RVUs21.6123
Conversion factor× 33.4009

Office rate, South Dakota$721.87

Office: (5.88 × 1 + 15.44 × 1 + 0.87 × 0.336) × $33.4009 = $721.87

Facility: (5.88 × 1 + 6.78 × 1 + 0.87 × 0.336) × $33.4009 = $432.62

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

How 69620 has changed in South Dakota

69620 · Office / nonfacility

$721.87

Effective 2026-10-01

The base rate is $20.08 higher than on 2025-10-01, moving from $701.79 to $721.87 (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

    $701.79changed to$721.87

    • 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
    • Malpractice GPCI 0.382 changed to 0.336

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $727.00changed to$701.79

    • 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

    $715.13changed to$727.00

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $743.59changed to$715.13

    • 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
    • Malpractice GPCI 0.364 changed to 0.382
  5. January 1, 2023

    RVU23A

    $754.48changed to$743.59

    • 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
    • Malpractice GPCI 0.347 changed to 0.364

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $739.42changed to$754.48

    • 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

    $704.89changed to$739.42

    • 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 0.368 changed to 0.347

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $695.58changed to$704.89

    • 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 0.389 changed to 0.368

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $681.78changed to$695.58

    • 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

    $688.33changed to$681.78

    • 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
    • Malpractice GPCI 0.395 changed to 0.389

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $696.47changed to$688.33

    • 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
    • Malpractice GPCI 0.400 changed to 0.395

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $695.39changed to$696.47

    • 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

    $691.92changed to$695.39

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $693.66changed to$691.92

    • 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
    • Malpractice GPCI 0.416 changed to 0.400

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $710.68changed to$693.66

    • 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
    • Malpractice GPCI 0.432 changed to 0.416

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $710.68

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$721.87$432.62RVU26D
2026-07-01$721.87$432.62RVU26C
2026-04-01$721.87$432.62RVU26B
2026-01-01$721.87$432.62RVU26A
2025-10-01$701.79$467.93RVU25D
2025-07-01$701.79$467.93RVU25C
2025-04-01$701.79$467.93RVU25B
2025-01-01$701.79$467.93RVU25A
2024-10-01$727.00$480.01RVU24D
2024-07-01$727.00$480.01RVU24C
2024-04-01$727.00$480.01RVU24B
2024-03-09$727.00$480.01RVU24AR
2024-01-01$715.13$472.17RVU24A
2023-10-01$743.59$487.06RVU23D
2023-07-01$743.59$487.06RVU23C
2023-04-01$743.59$487.06RVU23B
2023-01-01$743.59$487.06RVU23A
2022-10-01$754.48$490.44RVU22D
2022-07-01$754.48$490.44RVU22C
2022-04-01$754.48$490.44RVU22B
2022-01-01$754.48$490.44RVU22A
2021-10-01$739.42$485.40RVU21D
2021-07-01$739.42$485.40RVU21C
2021-04-01$739.42$485.40RVU21B
2021-01-01$739.42$485.40RVU21A
2020-10-01$704.89$482.94RVU20D
2020-07-01$704.89$482.94RVU20C
2020-04-01$704.89$482.94RVU20B
2020-01-01$704.89$482.94RVU20A
2019-10-01$695.58$481.87RVU19D
2019-07-01$695.58$481.87RVU19C
2019-04-01$695.58$481.87RVU19B
2019-01-01$695.58$481.87RVU19A
2018-10-01$681.78$477.30RVU18D
2018-07-01$681.78$477.30RVU18C
2018-04-01$681.78$477.30RVU18B
2018-01-01$681.78$477.30RVU18AR1
2017-10-01$688.33$482.33RVU17D
2017-07-01$688.33$482.33RVU17C
2017-04-01$688.33$482.33RVU17B
2017-01-01$688.33$482.33RVU17A
2016-10-01$696.47$487.37RVU16D
2016-07-01$696.47$487.37RVU16C
2016-04-01$696.47$487.37RVU16B
2016-01-01$696.47$487.37RVU16A
2015-10-01$695.39$486.61RVU15D
2015-07-01$695.39$486.61RVU15C
2015-04-01$691.92$484.19RVU15B
2015-01-01$691.92$484.19RVU15A
2014-10-01$693.66$486.96RVU14D
2014-07-01$693.66$486.96RVU14C
2014-04-01$693.66$486.96RVU14B
2014-01-01$693.66$486.96RVU14A
2013-10-01$710.68$489.53RVU13D
2013-07-01$710.68$489.53RVU13C
2013-04-01$710.68$489.53RVU13B
2013-01-01$710.68$489.53RVU13AR

Price 69620 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Agar
  • Agency Village
  • Akaska
  • Albee
  • Alcester
  • Alexandria
  • Allen

Browse all communities in South Dakota

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 South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 69620 pays in South Dakota?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 69620 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Build my fee sheet