CPT code 69635: Tympanoplasty, with mastoidectomy, no reconstruction2026 Medicare rate & RVUs in Oklahoma

Reports tympanic membrane repair performed with mastoidectomy when the operation does not include reconstruction of the ossicular chain.

CMS RVU26DEffective Oct 1, 2026One payment locality123 Medicare services in 2024

In Oklahoma, Medicare pays $1,088.25 for 69635 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,088.25Hospital or facility

Check a contract rate as a % of Medicare · 69635 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 69635 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Oklahoma
  2. What 69635 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 69635 covers

An otologic surgeon uses this code for tympanoplasty performed together with mastoidectomy, including associated canal and middle-ear work and repair of the tympanic membrane. The operation may be used for chronic middle-ear disease, such as disease involving the mastoid, when the surgeon repairs the eardrum but does not reconstruct the ossicular chain. It is typically performed in an operating room under anesthesia.

Choose this code when the operative report supports both tympanoplasty and mastoidectomy and documents no ossicular chain reconstruction; a tympanoplasty without mastoidectomy belongs to a different code family. The report should identify the treated ear, surgical extent, and whether the ossicles were reconstructed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For same-session procedures, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services are not paid; 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 Oklahoma compares for 69635

Across 109 of 109 payment localities, the facility rate for 69635 runs from $1,045.48 in Arkansas to $1,479.31 in San Benito County, CA. Oklahoma pays $1,088.25. The RVUs are the same everywhere; the geographic indexes change the dollars.

69635 in Oklahoma vs other payment areas
  1. Oklahoma · this page$1,088.25
  2. Los Angeles, CA · California$1,288.41+$200.16
  3. Washington, DC area · District of Columbia$1,325.78+$237.53
  4. Miami, FL · Florida$1,322.03+$233.78
  5. Chicago, IL · Illinois$1,283.20+$194.95
  6. Manhattan, NY · New York$1,356.45+$268.20
  7. Alaska · Alaska$1,403.84+$315.59

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

Every other payment area

69635 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$1,059.98
ArkansasArkansas—$1,045.48
ArizonaArizona—$1,144.43
Bakersfield, CACalifornia—$1,217.17
Chico, CACalifornia—$1,210.61
El Centro, CACalifornia—$1,211.00
Fresno, CACalifornia—$1,210.61
Hanford, CACalifornia—$1,210.61

69635 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
69635 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 69635 in every payment locality

How the 69635 rate is calculated

Each of 69635’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 · 69635

RVUs × geographic indexes × conversion factor

Office or facility?

Work13.17

13.17 RVUs× 1.000 GPCI

Practice expense19.71

19.71 RVUs× 1.000 GPCI

Malpractice2.33

2.33 RVUs× 1.000 GPCI

Adjusted RVUs

35.2100

Conversion factor

$33.4009

Medicare rate

$1,176.05

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

The exact Oklahoma inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,628

Code
69635
Physician work
13.17
Practice expense
19.71
Malpractice
2.33

GPCI2026.csv

86

Locality
Oklahoma
Physician work
1.000
Practice expense
0.893
Malpractice
0.777
Facility calculation for 69635 in Oklahoma
ComponentRVULocality factorAdjusted
Physician work13.17× 1.00013.1700
Practice expense19.71× 0.89317.6010
Malpractice2.33× 0.7771.8104
Total RVUs32.5814
Conversion factor× 33.4009

Facility rate, Oklahoma$1088.25

Facility: (13.17 × 1 + 19.71 × 0.893 + 2.33 × 0.777) × $33.4009 = $1088.25

Open 69635 in the RVU calculator

Payment rules and modifiers for 69635

69635 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 69635

Tympanoplasty, with mastoidectomy, no 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 · 69635

Tympanoplasty, with mastoidectomy, no 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

69635 without 50 · national facility

$1,176.05

Tympanoplasty, with mastoidectomy, no reconstruction

69635-50 · Bilateral: 150%

$1,764.08

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 69635 has changed in Oklahoma

69635 · 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$1,088.25RVU26D
2026-07-01Not available in this setting$1,088.25RVU26C
2026-04-01Not available in this setting$1,088.25RVU26B
2026-01-01Not available in this setting$1,088.25RVU26A
2025-10-01Not available in this setting$1,150.05RVU25D
2025-07-01Not available in this setting$1,150.05RVU25C
2025-04-01Not available in this setting$1,150.05RVU25B
2025-01-01Not available in this setting$1,150.05RVU25A
2024-10-01Not available in this setting$1,186.61RVU24D
2024-07-01Not available in this setting$1,186.61RVU24C
2024-04-01Not available in this setting$1,186.61RVU24B
2024-03-09Not available in this setting$1,186.61RVU24AR
2024-01-01Not available in this setting$1,167.24RVU24A
2023-10-01Not available in this setting$1,208.23RVU23D
2023-07-01Not available in this setting$1,208.23RVU23C
2023-04-01Not available in this setting$1,208.23RVU23B
2023-01-01Not available in this setting$1,208.23RVU23A
2022-10-01Not available in this setting$1,212.24RVU22D
2022-07-01Not available in this setting$1,212.24RVU22C
2022-04-01Not available in this setting$1,212.24RVU22B
2022-01-01Not available in this setting$1,212.24RVU22A
2021-10-01Not available in this setting$1,205.04RVU21D
2021-07-01Not available in this setting$1,205.04RVU21C
2021-04-01Not available in this setting$1,205.04RVU21B
2021-01-01Not available in this setting$1,205.04RVU21A
2020-10-01Not available in this setting$1,176.33RVU20D
2020-07-01Not available in this setting$1,176.33RVU20C
2020-04-01Not available in this setting$1,176.33RVU20B
2020-01-01Not available in this setting$1,176.33RVU20A
2019-10-01Not available in this setting$1,194.31RVU19D
2019-07-01Not available in this setting$1,194.31RVU19C
2019-04-01Not available in this setting$1,194.31RVU19B
2019-01-01Not available in this setting$1,194.31RVU19A
2018-10-01Not available in this setting$1,178.48RVU18D
2018-07-01Not available in this setting$1,178.48RVU18C
2018-04-01Not available in this setting$1,178.48RVU18B
2018-01-01Not available in this setting$1,178.48RVU18AR1
2017-10-01Not available in this setting$1,177.20RVU17D
2017-07-01Not available in this setting$1,177.20RVU17C
2017-04-01Not available in this setting$1,177.20RVU17B
2017-01-01Not available in this setting$1,177.20RVU17A
2016-10-01Not available in this setting$1,175.45RVU16D
2016-07-01Not available in this setting$1,175.45RVU16C
2016-04-01Not available in this setting$1,175.45RVU16B
2016-01-01Not available in this setting$1,175.45RVU16A
2015-10-01Not available in this setting$1,171.57RVU15D
2015-07-01Not available in this setting$1,171.57RVU15C
2015-04-01Not available in this setting$1,165.74RVU15B
2015-01-01Not available in this setting$1,165.74RVU15A
2014-10-01Not available in this setting$1,155.22RVU14D
2014-07-01Not available in this setting$1,155.22RVU14C
2014-04-01Not available in this setting$1,155.22RVU14B
2014-01-01Not available in this setting$1,155.22RVU14A
2013-10-01Not available in this setting$1,149.07RVU13D
2013-07-01Not available in this setting$1,149.07RVU13C
2013-04-01Not available in this setting$1,149.07RVU13B
2013-01-01Not available in this setting$1,149.07RVU13AR

Price 69635 for an earlier date of service

Where the Oklahoma rate applies

Oklahoma is a Medicare payment area, not a city. Our Census mapping connects it to 846 cities and communities in Oklahoma. Some span more than one payment area; confirm with the service ZIP.

  • Lahoma
  • Achille
  • Ada
  • Adair
  • Adams
  • Adamson
  • Addington
  • Afton

Browse all communities in Oklahoma

69635 billing questions

How does this differ from 69631?

69635 includes mastoidectomy with tympanoplasty. 69631 is the tympanoplasty option without mastoidectomy.

When would 69636 be considered instead?

Use the applicable sibling code when the operation includes ossicular chain reconstruction. This code is for tympanoplasty with mastoidectomy without that reconstruction.

Can the eardrum repair and mastoidectomy be billed separately?

The tympanoplasty code includes the associated tympanic membrane repair and middle-ear work in the operation. Do not separately report those included elements as independent procedures.

What documentation supports reporting 69635?

The operative report should establish that tympanoplasty and mastoidectomy were performed, describe the surgical extent, and clarify that the ossicular chain was not reconstructed.

How are bilateral procedures and additional same-session procedures paid?

CMS pays bilateral reporting with modifier 50 at 150%. For multiple procedures in one session, the highest-valued procedure is paid in full and the others at 50%.

Can an assistant surgeon or co-surgeon be reported?

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

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 69635PPRRVU2026_Oct_nonQPP.csv, line 7,628 (RVU26D)
Geographic factors for OklahomaGPCI2026.csv, line 86 (RVU26D)

Open CMS sourceHow we calculate rates

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