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CPT code 69631: Tympanoplasty, no mastoidectomy or chain reconstruction2026 Medicare rate & RVUs

An otolaryngologist repairs a tympanic membrane, often for a persistent perforation, without mastoidectomy or ossicular chain reconstruction.

CMS RVU26DEffective Oct 1, 2026109 payment localities3.1K Medicare services in 2024

Medicare pays $799.28 for 69631 nationally in a facility.

Medicare rate · 69631

Tympanoplasty, no mastoidectomy or chain reconstruction

Office or facility?

Work RVUs
9.8
Total RVUs
23.93
Global days
090

National rate · 2026

$799.28

Facility setting, before claim adjustments.

See every locality for 69631 →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.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 69631 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 69631 covers

An otolaryngologist uses this operation to close a tympanic membrane perforation, commonly one that persists after infection or causes recurrent drainage or conductive hearing problems. The surgeon may use a graft such as fascia or cartilage. The work can include canalplasty, atticotomy, or middle-ear surgery as part of the tympanoplasty. The procedure is commonly performed in a hospital or ambulatory surgery center.

Select this code when the operative report supports tympanoplasty without mastoidectomy and without ossicular chain reconstruction. Document the perforation, surgical approach, graft or repair performed, and whether mastoid or ossicular-chain work was done. The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery; 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 69631 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

69631 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$725.43
AlaskaUnavailable$968.90
ArizonaUnavailable$779.22
ArkansasUnavailable$716.19
Atlanta, GAUnavailable$816.71
Austin, TXUnavailable$819.04
Bakersfield, CAUnavailable$827.39
Baltimore area, MDUnavailable$846.86
Beaumont, TXUnavailable$757.72
Brazoria, TXUnavailable$787.51

69631 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
69631 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 69631 rate is calculated

Each of 69631’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 · 69631

RVUs × geographic indexes × conversion factor

Office or facility?

Work9.80

9.80 RVUs× 1.000 GPCI

Practice expense12.69

12.69 RVUs× 1.000 GPCI

Malpractice1.44

1.44 RVUs× 1.000 GPCI

Adjusted RVUs

23.9300

Conversion factor

$33.4009

Medicare rate

$799.28

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 69631

69631 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 69631

Tympanoplasty, no mastoidectomy or chain reconstruction

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 · 69631

Tympanoplasty, no mastoidectomy or chain reconstruction

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

69631 without 50 · national facility

$799.28

Tympanoplasty, no mastoidectomy or chain reconstruction

69631-50 · Bilateral: 150%

$1,198.92

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

69631 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 69631

    Tympanoplasty, no mastoidectomy or chain reconstruction9.8 wRVU

    Not priced

  • 69632

    Tympanoplasty, without mastoidectomy, with ossicular reconstruction12.64 wRVU

    Not priced

  • 69633

    Tympanoplasty, mastoidectomy with ossicular reconstruction12 wRVU

    Not priced

  • 69610

    Eardrum repair, patch or perforation preparation4.36 wRVU

    $382.11

  • 69620

    Myringoplasty, tympanic membrane perforation5.88 wRVU

    $741.17

How to choose

69632TympanoplastyWithout mastoidectomy, with ossicular reconstruction
Both describe tympanoplasty without mastoidectomy; 69632 includes ossicular chain reconstruction, while 69631 does not.
69633TympanoplastyMastoidectomy with ossicular reconstruction
This is the related tympanoplasty code when mastoidectomy is performed. Code 69631 is for tympanoplasty without mastoidectomy.
69610Eardrum repairPatch or perforation preparation
Code 69610 describes tympanic membrane repair; 69631 represents tympanoplasty, which may include grafting and related middle-ear work.
69620MyringoplastyTympanic membrane perforation
Myringoplasty is a distinct membrane-repair service. Choose 69631 when the operation is tympanoplasty without mastoidectomy or ossicular chain reconstruction.

Codes related to 69631

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

Codes related to 69631
CodeHow it relatesNational office range
Same family
69632Tympanoplasty, without mastoidectomy, with ossicular reconstructionTympanoplasty with ossicular chain reconstruction.No office rate
69633Tympanoplasty, mastoidectomy with ossicular reconstructionTympanoplasty with mastoidectomy, without ossicular chain reconstruction.No office rate
Used instead
69610Eardrum repair, patch or perforation preparationTympanic membrane repair for a different repair service than tympanoplasty.$341.64–$483.89
69620Myringoplasty, tympanic membrane perforationMyringoplasty is a related membrane-repair option.$654.36–$977.23

69631 billing questions

How is this different from code 69632?

Code 69631 is for tympanoplasty without ossicular chain reconstruction. Use 69632 when the operation also reconstructs the ossicular chain.

Can canalplasty or atticotomy be separately reported?

These may be part of the tympanoplasty service described by this code. Do not report them separately when they are performed as part of that repair.

When would code 69610 be a better fit?

Code 69610 describes tympanic membrane repair rather than the more extensive tympanoplasty represented by 69631. The operative details should support which service was performed.

What documentation supports reporting 69631?

The operative report should identify the membrane perforation and repair, any graft used, and whether mastoidectomy or ossicular chain reconstruction was performed.

How is bilateral surgery reported under the CMS payment rule?

For bilateral procedures reported with modifier 50, CMS pays 150%.

What postoperative care is included?

The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period.

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 69631PPRRVU2026_Oct_nonQPP.csv, line 7,625 (RVU26D)

Open CMS sourceHow we calculate rates

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