CPT code 69633: Tympanoplasty, mastoidectomy with ossicular reconstruction2026 Medicare rate & RVUs in Minnesota

Reports tympanoplasty with mastoidectomy and ossicular chain reconstruction to repair the eardrum and restore middle-ear sound transmission.

CMS RVU26DEffective Oct 1, 2026One payment locality583 Medicare services in 2024

In Minnesota, Medicare pays $913.43 for 69633 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$913.43Hospital or facility

Check a contract rate as a % of Medicare · 69633 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 69633 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Minnesota
  2. What 69633 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 69633 covers

An otolaryngologist performs this operation to repair the tympanic membrane and reconstruct the middle-ear sound-conducting bones while also removing diseased mastoid air cells. It is commonly used for chronic middle-ear disease, including cases with ossicular damage and mastoid involvement. The surgery takes place in an operating room and may include canalplasty or other middle-ear work integral to the repair.

Select this code when the operative report supports both mastoidectomy and ossicular chain reconstruction as part of the tympanoplasty. Documentation should identify the mastoid work, eardrum repair, and reconstruction performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care for 90 days. When multiple procedures are performed 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%. Medicare does not pay an assistant at surgery for this service; 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 Minnesota compares for 69633

Across 109 of 109 payment localities, the facility rate for 69633 runs from $845.39 in Arkansas to $1,170.80 in San Benito County, CA. Minnesota pays $913.43. The RVUs are the same everywhere; the geographic indexes change the dollars.

69633 in Minnesota vs other payment areas
  1. Minnesota · this page$913.43
  2. Los Angeles, CA · California$1,026.70+$113.27
  3. Washington, DC area · District of Columbia$1,057.40+$143.97
  4. Miami, FL · Florida$1,057.92+$144.49
  5. Chicago, IL · Illinois$1,028.90+$115.47
  6. Manhattan, NY · New York$1,083.11+$169.68
  7. Alaska · Alaska$1,146.97+$233.54

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

Every other payment area

69633 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$856.24
ArkansasArkansas—$845.39
ArizonaArizona—$919.41
Bakersfield, CACalifornia—$972.67
Chico, CACalifornia—$967.34
El Centro, CACalifornia—$967.65
Fresno, CACalifornia—$967.34
Hanford, CACalifornia—$967.34

69633 rates by state

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

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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
69633 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 69633 in every payment locality

How the 69633 rate is calculated

Each of 69633’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 · 69633

RVUs × geographic indexes × conversion factor

Office or facility?

Work12.00

12.00 RVUs× 1.000 GPCI

Practice expense14.38

14.38 RVUs× 1.000 GPCI

Malpractice1.86

1.86 RVUs× 1.000 GPCI

Adjusted RVUs

28.2400

Conversion factor

$33.4009

Medicare rate

$943.24

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

The exact Minnesota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,627

Code
69633
Physician work
12.00
Practice expense
14.38
Malpractice
1.86

GPCI2026.csv

66

Locality
Minnesota
Physician work
1.000
Practice expense
1.029
Malpractice
0.296
Facility calculation for 69633 in Minnesota
ComponentRVULocality factorAdjusted
Physician work12.00× 1.00012.0000
Practice expense14.38× 1.02914.7970
Malpractice1.86× 0.2960.5506
Total RVUs27.3476
Conversion factor× 33.4009

Facility rate, Minnesota$913.43

Facility: (12 × 1 + 14.38 × 1.029 + 1.86 × 0.296) × $33.4009 = $913.43

Open 69633 in the RVU calculator

Payment rules and modifiers for 69633

69633 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 69633

Tympanoplasty, 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 · 69633

Tympanoplasty, 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

69633 without 50 · national facility

$943.24

Tympanoplasty, mastoidectomy with ossicular reconstruction

69633-50 · Bilateral: 150%

$1,414.86

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 69633 has changed in Minnesota

69633 · 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$913.43RVU26D
2026-07-01Not available in this setting$913.43RVU26C
2026-04-01Not available in this setting$913.43RVU26B
2026-01-01Not available in this setting$913.43RVU26A
2025-10-01Not available in this setting$991.53RVU25D
2025-07-01Not available in this setting$991.53RVU25C
2025-04-01Not available in this setting$991.53RVU25B
2025-01-01Not available in this setting$991.53RVU25A
2024-10-01Not available in this setting$1,028.61RVU24D
2024-07-01Not available in this setting$1,028.61RVU24C
2024-04-01Not available in this setting$1,028.61RVU24B
2024-03-09Not available in this setting$1,028.61RVU24AR
2024-01-01Not available in this setting$1,011.82RVU24A
2023-10-01Not available in this setting$1,047.66RVU23D
2023-07-01Not available in this setting$1,047.66RVU23C
2023-04-01Not available in this setting$1,047.66RVU23B
2023-01-01Not available in this setting$1,047.66RVU23A
2022-10-01Not available in this setting$1,059.72RVU22D
2022-07-01Not available in this setting$1,059.72RVU22C
2022-04-01Not available in this setting$1,059.72RVU22B
2022-01-01Not available in this setting$1,059.72RVU22A
2021-10-01Not available in this setting$1,061.05RVU21D
2021-07-01Not available in this setting$1,061.05RVU21C
2021-04-01Not available in this setting$1,061.05RVU21B
2021-01-01Not available in this setting$1,061.05RVU21A
2020-10-01Not available in this setting$1,036.52RVU20D
2020-07-01Not available in this setting$1,036.52RVU20C
2020-04-01Not available in this setting$1,036.52RVU20B
2020-01-01Not available in this setting$1,036.52RVU20A
2019-10-01Not available in this setting$1,035.75RVU19D
2019-07-01Not available in this setting$1,035.75RVU19C
2019-04-01Not available in this setting$1,035.75RVU19B
2019-01-01Not available in this setting$1,035.75RVU19A
2018-10-01Not available in this setting$1,026.01RVU18D
2018-07-01Not available in this setting$1,026.01RVU18C
2018-04-01Not available in this setting$1,026.01RVU18B
2018-01-01Not available in this setting$1,026.01RVU18AR1
2017-10-01Not available in this setting$1,037.87RVU17D
2017-07-01Not available in this setting$1,037.87RVU17C
2017-04-01Not available in this setting$1,037.87RVU17B
2017-01-01Not available in this setting$1,037.87RVU17A
2016-10-01Not available in this setting$1,048.42RVU16D
2016-07-01Not available in this setting$1,048.42RVU16C
2016-04-01Not available in this setting$1,048.42RVU16B
2016-01-01Not available in this setting$1,048.42RVU16A
2015-10-01Not available in this setting$1,045.72RVU15D
2015-07-01Not available in this setting$1,045.72RVU15C
2015-04-01Not available in this setting$1,040.52RVU15B
2015-01-01Not available in this setting$1,040.52RVU15A
2014-10-01Not available in this setting$1,048.44RVU14D
2014-07-01Not available in this setting$1,048.44RVU14C
2014-04-01Not available in this setting$1,048.44RVU14B
2014-01-01Not available in this setting$1,048.44RVU14A
2013-10-01Not available in this setting$1,050.40RVU13D
2013-07-01Not available in this settingRate data unavailableRVU13C
2013-04-01Not available in this settingRate data unavailableRVU13B
2013-01-01Not available in this settingRate data unavailableRVU13AR

Price 69633 for an earlier date of service

Where the Minnesota rate applies

Minnesota is a Medicare payment area, not a city. Our Census mapping connects it to 916 cities and communities in Minnesota. Some span more than one payment area; confirm with the service ZIP.

  • Ada
  • Adams
  • Adrian
  • Afton
  • Aitkin
  • Akeley
  • Albany
  • Albert Lea

Browse all communities in Minnesota

69633 billing questions

How does this differ from 69632?

This code includes mastoidectomy along with tympanoplasty and ossicular chain reconstruction. Code 69632 describes the reconstruction without mastoidectomy.

What operative details support reporting this code?

The operative report should document mastoidectomy, tympanic membrane repair, and reconstruction of the ossicular chain. A tympanoplasty without mastoid work does not support this code.

Can the mastoidectomy or ossicular reconstruction be billed separately?

Those elements are included in the reported tympanoplasty service when performed as part of this operation. Do not separately report them as standalone services for the same operative work.

How does Medicare handle bilateral surgery?

CMS lists this as a bilateral procedure. Modifier 50 is paid at 150%.

Can an assistant surgeon or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.

What happens when another procedure is performed in the same session?

The highest-valued procedure is paid in full, and other procedures are subject to the standard 50% multiple-procedure reduction.

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 69633PPRRVU2026_Oct_nonQPP.csv, line 7,627 (RVU26D)
Geographic factors for MinnesotaGPCI2026.csv, line 66 (RVU26D)

Open CMS sourceHow we calculate rates

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