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

In Puerto Rico, Medicare pays $1,182.12 for 69635 in a facility. There’s no office rate.

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.

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 Puerto Rico 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. Puerto Rico pays $1,182.12. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

69635 rates by state

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

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.

Payment rules and modifiers for 69635

69635 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 69635

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

How 69635 has changed in Puerto Rico

Price 69635 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

• Aceitunas
• Adjuntas
• Aguada
• Aguadilla
• Aguas Buenas
• Aguas Claras
• Aguilita
• Aibonito

Browse all communities in Puerto Rico

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