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

In North Carolina, Medicare pays $888.63 for 69633 in a facility. There’s no office rate.

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.

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 North Carolina 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. North Carolina pays $888.63. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

69633 rates by state

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

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.

Payment rules and modifiers for 69633

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

What modifiers do to the payment

When to use modifier 50

Codes related to 69633

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

How 69633 has changed in North Carolina

Price 69633 for an earlier date of service

Where the North Carolina rate applies

North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Advance
• Ahoskie
• Alamance
• Albemarle
• Alexis
• Alliance
• Altamahaw

Browse all communities in North Carolina

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

Open CMS sourceHow we calculate rates