CPT code 69632: Tympanoplasty, without mastoidectomy, with ossicular reconstruction2026 Medicare rate & RVUs in Arkansas

Reports tympanic membrane repair with ossicular chain reconstruction when the surgeon restores middle-ear sound transmission without performing a mastoidectomy.

CMS RVU26DEffective Oct 1, 2026One payment locality282 Medicare services in 2024

In Arkansas, Medicare pays $870.21 for 69632 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$870.21Hospital or facility

Check a contract rate as a % of Medicare · 69632 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 69632 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Arkansas
  2. What 69632 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 69632 covers

An otolaryngologist performs this operation to repair the tympanic membrane and reconstruct damaged or discontinuous middle-ear ossicles, often in a patient with a chronic perforation and conductive hearing loss. The surgeon may use a graft to close the eardrum and reconstruct the sound-conducting chain. The service is performed in an operating room; the defining features are ossicular reconstruction and no mastoidectomy.

Select this code from the operative report, which should document the eardrum repair, ossicular work, laterality, and whether a mastoidectomy was performed. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral surgery, modifier 50 is paid at 150%. CMS 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.

How Arkansas compares for 69632

Across 109 of 109 payment localities, the facility rate for 69632 runs from $870.21 in Arkansas to $1,199.76 in San Benito County, CA. Arkansas pays $870.21. The RVUs are the same everywhere; the geographic indexes change the dollars.

69632 in Arkansas vs other payment areas
  1. Arkansas · this page$870.21
  2. Los Angeles, CA · California$1,053.61+$183.40
  3. Washington, DC area · District of Columbia$1,085.33+$215.12
  4. Miami, FL · Florida$1,086.65+$216.44
  5. Chicago, IL · Illinois$1,057.28+$187.07
  6. Manhattan, NY · New York$1,111.99+$241.78
  7. Alaska · Alaska$1,183.16+$312.95

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

Every other payment area

69632 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$881.19
ArizonaArizona—$945.12
Bakersfield, CACalifornia—$998.77
Chico, CACalifornia—$993.27
El Centro, CACalifornia—$993.59
Fresno, CACalifornia—$993.27
Hanford, CACalifornia—$993.27
Madera, CACalifornia—$993.27

69632 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.

View every state and territory as a table
69632 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

See 69632 in every payment locality

How the 69632 rate is calculated

Each of 69632’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 · 69632

RVUs × geographic indexes × conversion factor

Office or facility?

Work12.64

12.64 RVUs× 1.000 GPCI

Practice expense14.47

14.47 RVUs× 1.000 GPCI

Malpractice1.91

1.91 RVUs× 1.000 GPCI

Adjusted RVUs

29.0200

Conversion factor

$33.4009

Medicare rate

$969.29

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

The exact Arkansas inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,626

Code
69632
Physician work
12.64
Practice expense
14.47
Malpractice
1.91

GPCI2026.csv

7

Locality
Arkansas
Physician work
1.000
Practice expense
0.859
Malpractice
0.515
Facility calculation for 69632 in Arkansas
ComponentRVULocality factorAdjusted
Physician work12.64× 1.00012.6400
Practice expense14.47× 0.85912.4297
Malpractice1.91× 0.5150.9837
Total RVUs26.0534
Conversion factor× 33.4009

Facility rate, Arkansas$870.21

Facility: (12.64 × 1 + 14.47 × 0.859 + 1.91 × 0.515) × $33.4009 = $870.21

Open 69632 in the RVU calculator

Payment rules and modifiers for 69632

69632 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 69632

Tympanoplasty, without mastoidectomy, with ossicular 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 · 69632

Tympanoplasty, without mastoidectomy, with ossicular 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

69632 without 50 · national facility

$969.29

Tympanoplasty, without mastoidectomy, with ossicular reconstruction

69632-50 · Bilateral: 150%

$1,453.94

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 69632 has changed in Arkansas

69632 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$870.21RVU26D
2026-07-01Not available in this setting$870.21RVU26C
2026-04-01Not available in this setting$870.21RVU26B
2026-01-01Not available in this setting$870.21RVU26A
2025-10-01Not available in this setting$938.81RVU25D
2025-07-01Not available in this setting$938.81RVU25C
2025-04-01Not available in this setting$938.81RVU25B
2025-01-01Not available in this setting$938.81RVU25A
2024-10-01Not available in this setting$972.87RVU24D
2024-07-01Not available in this setting$972.87RVU24C
2024-04-01Not available in this setting$972.87RVU24B
2024-03-09Not available in this setting$972.87RVU24AR
2024-01-01Not available in this setting$956.99RVU24A
2023-10-01Not available in this setting$988.80RVU23D
2023-07-01Not available in this setting$988.80RVU23C
2023-04-01Not available in this setting$988.80RVU23B
2023-01-01Not available in this setting$988.80RVU23A
2022-10-01Not available in this setting$998.76RVU22D
2022-07-01Not available in this setting$998.76RVU22C
2022-04-01Not available in this setting$998.76RVU22B
2022-01-01Not available in this setting$998.76RVU22A
2021-10-01Not available in this setting$999.32RVU21D
2021-07-01Not available in this setting$999.32RVU21C
2021-04-01Not available in this setting$999.32RVU21B
2021-01-01Not available in this setting$999.32RVU21A
2020-10-01Not available in this setting$992.06RVU20D
2020-07-01Not available in this setting$992.06RVU20C
2020-04-01Not available in this setting$992.06RVU20B
2020-01-01Not available in this setting$992.06RVU20A
2019-10-01Not available in this setting$1,003.15RVU19D
2019-07-01Not available in this setting$1,003.15RVU19C
2019-04-01Not available in this setting$1,003.15RVU19B
2019-01-01Not available in this setting$1,003.15RVU19A
2018-10-01Not available in this setting$994.21RVU18D
2018-07-01Not available in this setting$994.21RVU18C
2018-04-01Not available in this setting$994.21RVU18B
2018-01-01Not available in this setting$994.21RVU18AR1
2017-10-01Not available in this setting$1,001.42RVU17D
2017-07-01Not available in this setting$1,001.42RVU17C
2017-04-01Not available in this setting$1,001.42RVU17B
2017-01-01Not available in this setting$1,001.42RVU17A
2016-10-01Not available in this setting$1,005.15RVU16D
2016-07-01Not available in this setting$1,005.15RVU16C
2016-04-01Not available in this setting$1,005.15RVU16B
2016-01-01Not available in this setting$1,005.15RVU16A
2015-10-01Not available in this setting$1,005.37RVU15D
2015-07-01Not available in this setting$1,005.37RVU15C
2015-04-01Not available in this setting$1,000.37RVU15B
2015-01-01Not available in this setting$1,000.37RVU15A
2014-10-01Not available in this setting$1,005.40RVU14D
2014-07-01Not available in this setting$1,005.40RVU14C
2014-04-01Not available in this setting$1,005.40RVU14B
2014-01-01Not available in this setting$1,005.40RVU14A
2013-10-01Not available in this setting$1,002.86RVU13D
2013-07-01Not available in this setting$1,002.86RVU13C
2013-04-01Not available in this setting$1,002.86RVU13B
2013-01-01Not available in this setting$1,002.86RVU13AR

Price 69632 for an earlier date of service

Where the Arkansas rate applies

Arkansas is a Medicare payment area, not a city. Our Census mapping connects it to 626 cities and communities in Arkansas. Some span more than one payment area; confirm with the service ZIP.

  • Acorn
  • Adona
  • Alexander
  • Alicia
  • Alix
  • Alleene
  • Allport
  • Alma

Browse all communities in Arkansas

69632 billing questions

How does this differ from 69631?

69632 includes reconstruction of the ossicular chain along with tympanoplasty. Use 69631 when the tympanoplasty is performed without ossicular chain reconstruction.

When is 69633 a better choice?

69633 describes tympanoplasty with mastoidectomy and without ossicular chain reconstruction. This code describes ossicular reconstruction without mastoidectomy.

Can the eardrum repair and ossicular reconstruction be reported separately?

The code represents the tympanoplasty with ossicular chain reconstruction as a combined operation. Do not report a second tympanoplasty code for the same repair.

How is bilateral surgery reported?

For surgery on both ears, report modifier 50; CMS pays the bilateral procedure at 150%.

What postoperative care is included?

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

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 69632PPRRVU2026_Oct_nonQPP.csv, line 7,626 (RVU26D)
Geographic factors for ArkansasGPCI2026.csv, line 7 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 69632 pays in Arkansas?

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

Fee sheets

Put 69632 and the rest of your codes on one sheet

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

Build my fee sheet