CPT code 69632: Tympanoplasty, without mastoidectomy, with ossicular reconstruction2026 Medicare rate & RVUs in South Dakota
Reports tympanic membrane repair with ossicular chain reconstruction when the surgeon restores middle-ear sound transmission without performing a mastoidectomy.
In South Dakota, Medicare pays $926.93 for 69632 in a facility. There’s no office rate.
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.
On this page 11 sections
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 South Dakota 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. South Dakota pays $926.93. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Dakota · this page$926.93
- Los Angeles, CA · California$1,053.61+$126.68
- Washington, DC area · District of Columbia$1,085.33+$158.40
- Miami, FL · Florida$1,086.65+$159.72
- Chicago, IL · Illinois$1,057.28+$130.35
- Manhattan, NY · New York$1,111.99+$185.06
- Alaska · Alaska$1,183.16+$256.23
Other areas in South Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $881.19 |
| ArkansasArkansas | — | $870.21 |
| 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 |
| Merced, CACalifornia | — | $993.27 |
| Modesto, CACalifornia | — | $993.27 |
| Napa, CACalifornia | — | $1,118.20 |
| Oxnard, CACalifornia | — | $1,045.03 |
| Redding, CACalifornia | — | $993.27 |
| Rest of CaliforniaCalifornia | — | $993.27 |
| Riverside, CACalifornia | — | $1,013.91 |
| Sacramento, CACalifornia | — | $1,033.67 |
| Salinas, CACalifornia | — | $1,029.63 |
| San Diego, CACalifornia | — | $1,047.47 |
| Marin County, CACalifornia | — | $1,173.05 |
| San Francisco, CACalifornia | — | $1,170.88 |
| San Benito County, CACalifornia | — | $1,199.76 |
| Santa Clara County, CACalifornia | — | $1,190.89 |
| San Luis Obispo, CACalifornia | — | $1,014.05 |
| Santa Cruz, CACalifornia | — | $1,052.47 |
| Santa Maria, CACalifornia | — | $1,031.74 |
| Santa Rosa, CACalifornia | — | $1,062.55 |
| Stockton, CACalifornia | — | $993.27 |
| Vallejo, CACalifornia | — | $1,115.07 |
| Visalia, CACalifornia | — | $993.27 |
| Yuba City, CACalifornia | — | $993.27 |
| ColoradoColorado | — | $991.32 |
| ConnecticutConnecticut | — | $1,028.35 |
| DelawareDelaware | — | $959.16 |
| Fort Lauderdale, FLFlorida | — | $1,027.12 |
| Rest of FloridaFlorida | — | $980.12 |
| Atlanta, GAGeorgia | — | $991.12 |
| Rest of GeorgiaGeorgia | — | $929.35 |
| Hawaii, Guam, HIHawaii | — | $1,008.65 |
| IowaIowa | — | $889.74 |
| IdahoIdaho | — | $897.01 |
| East St. Louis, ILIllinois | — | $995.32 |
| Rest of IllinoisIllinois | — | $963.16 |
| Suburban Chicago, ILIllinois | — | $1,034.55 |
| IndianaIndiana | — | $901.22 |
| KansasKansas | — | $891.25 |
| KentuckyKentucky | — | $910.22 |
| New Orleans, LALouisiana | — | $949.45 |
| Rest of LouisianaLouisiana | — | $911.03 |
| Metropolitan Boston, MAMassachusetts | — | $1,073.35 |
| Rest of MassachusettsMassachusetts | — | $988.71 |
| Baltimore area, MDMaryland | — | $1,026.45 |
| Rest of MarylandMaryland | — | $974.08 |
| Rest of MaineMaine | — | $906.51 |
| Southern Maine, MEMaine | — | $941.40 |
| Detroit, MIMichigan | — | $996.14 |
| Rest of MichiganMichigan | — | $935.48 |
| MinnesotaMinnesota | — | $938.40 |
| Metropolitan Kansas City, MOMissouri | — | $938.34 |
| Metropolitan St. Louis, MOMissouri | — | $946.22 |
| Rest of MissouriMissouri | — | $900.94 |
| MississippiMississippi | — | $885.46 |
| MontanaMontana | — | $969.17 |
| North CarolinaNorth Carolina | — | $913.88 |
| North DakotaNorth Dakota | — | $931.40 |
| NebraskaNebraska | — | $892.40 |
| New HampshireNew Hampshire | — | $981.14 |
| Northern New JerseyNew Jersey | — | $1,077.56 |
| Rest of New JerseyNew Jersey | — | $1,036.83 |
| New MexicoNew Mexico | — | $942.00 |
| NevadaNevada | — | $959.12 |
| NYC suburbs and Long Island, NYNew York | — | $1,142.33 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,047.60 |
| Queens, NYNew York | — | $1,112.47 |
| Rest of New YorkNew York | — | $926.18 |
| OhioOhio | — | $927.76 |
| OklahomaOklahoma | — | $903.35 |
| Portland, OROregon | — | $1,013.36 |
| Rest of OregonOregon | — | $948.41 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,009.02 |
| Rest of PennsylvaniaPennsylvania | — | $926.15 |
| Puerto RicoPuerto Rico | — | $973.65 |
| Rhode IslandRhode Island | — | $986.38 |
| South CarolinaSouth Carolina | — | $922.99 |
| TennesseeTennessee | — | $895.78 |
| Austin, TXTexas | — | $990.90 |
| Beaumont, TXTexas | — | $921.27 |
| Brazoria, TXTexas | — | $954.29 |
| Dallas, TXTexas | — | $962.10 |
| Fort Worth, TXTexas | — | $958.10 |
| Galveston, TXTexas | — | $958.32 |
| Houston, TXTexas | — | $993.28 |
| Rest of TexasTexas | — | $938.46 |
| UtahUtah | — | $933.79 |
| VirginiaVirginia | — | $942.32 |
| Virgin Islands, VIUnited States Virgin Islands | — | $973.65 |
| VermontVermont | — | $932.95 |
| Rest of WashingtonWashington | — | $985.15 |
| King County, WAWashington | — | $1,088.44 |
| WisconsinWisconsin | — | $904.85 |
| West VirginiaWest Virginia | — | $933.48 |
| WyomingWyoming | — | $952.71 |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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
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 South Dakota 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
94
- Locality
- South Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.336
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 12.64 | × 1.000 | 12.6400 |
| Practice expense | 14.47 | × 1.000 | 14.4700 |
| Malpractice | 1.91 | × 0.336 | 0.6418 |
| Total RVUs | 27.7518 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, South Dakota$926.93
Facility: (12.64 × 1 + 14.47 × 1 + 1.91 × 0.336) × $33.4009 = $926.93
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
| 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 · 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.
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).
How 69632 has changed in South Dakota
69632 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $926.93 | RVU26D |
| 2026-07-01 | Not available in this setting | $926.93 | RVU26C |
| 2026-04-01 | Not available in this setting | $926.93 | RVU26B |
| 2026-01-01 | Not available in this setting | $926.93 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,009.92 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,009.92 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,009.92 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,009.92 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,047.45 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,047.45 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,047.45 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,047.45 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,030.35 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,069.97 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,069.97 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,069.97 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,069.97 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,084.88 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,084.88 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,084.88 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,084.88 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,085.67 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,085.67 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,085.67 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,085.67 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,062.89 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,062.89 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,062.89 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,062.89 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,063.64 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,063.64 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,063.64 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,063.64 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,053.78 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,053.78 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,053.78 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,053.78 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,065.35 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,065.35 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,065.35 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,065.35 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,073.70 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,073.70 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,073.70 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,073.70 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,073.26 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,073.26 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,067.92 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,067.92 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,080.47 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,080.47 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,080.47 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,080.47 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,085.58 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,085.58 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,085.58 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,085.58 | RVU13AR |
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
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
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