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CPT code 69636: Tympanoplasty, radical or complete mastoidectomy2026 Medicare rate & RVUs

Reports tympanoplasty with radical or complete mastoidectomy and ossicular chain reconstruction for disease requiring extensive mastoid surgery and middle-ear reconstruction.

CMS RVU26DEffective Oct 1, 2026109 payment localities76 Medicare services in 2024

Medicare pays $1,289.27 for 69636 nationally in a facility.

Medicare rate · 69636

Tympanoplasty, radical or complete mastoidectomy

Office or facility?

Work RVUs
15.04
Total RVUs
38.60
Global days
090

National rate · 2026

$1,289.27

Facility setting, before claim adjustments.

See every locality for 69636 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 69636 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 69636 covers

An otolaryngologist performs this operation to treat disease involving the middle ear and mastoid when the surgical plan includes radical or complete mastoidectomy and reconstruction of the ossicular chain. The work combines removal of diseased mastoid air cells with repair of the eardrum and restoration of sound-conducting structures. It is generally performed in an operating room, with the operative report documenting the extent of mastoid removal and the reconstruction performed.

Choose this code when the procedure includes both the radical or complete mastoidectomy and ossicular chain reconstruction; a less extensive mastoidectomy or tympanoplasty without chain reconstruction points to a different code in the family. 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 multiple procedure reduction. For bilateral surgery, modifier 50 is paid at 150%. An assistant is payable only when medical necessity is documented; 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.

Where 69636 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

69636 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,168.31
AlaskaUnavailable$1,554.00
ArizonaUnavailable$1,256.61
ArkansasUnavailable$1,153.16
Atlanta, GAUnavailable$1,316.90
Austin, TXUnavailable$1,323.34
Bakersfield, CAUnavailable$1,338.74
Baltimore area, MDUnavailable$1,366.75
Beaumont, TXUnavailable$1,219.84
Brazoria, TXUnavailable$1,270.78

69636 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
69636 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

How the 69636 rate is calculated

Each of 69636’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 · 69636

RVUs × geographic indexes × conversion factor

Office or facility?

Work15.04

15.04 RVUs× 1.000 GPCI

Practice expense21.37

21.37 RVUs× 1.000 GPCI

Malpractice2.19

2.19 RVUs× 1.000 GPCI

Adjusted RVUs

38.6000

Conversion factor

$33.4009

Medicare rate

$1,289.27

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

Payment rules and modifiers for 69636

69636 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 69636

Tympanoplasty, radical or complete mastoidectomy

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)0Not paid without supporting documentation.
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 · 69636

Tympanoplasty, radical or complete mastoidectomy

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

69636 without 50 · national facility

$1,289.27

Tympanoplasty, radical or complete mastoidectomy

69636-50 · Bilateral: 150%

$1,933.91

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

69636 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 69636

    Tympanoplasty, radical or complete mastoidectomy15.04 wRVU

    Not priced

  • 69635

    Tympanoplasty, with mastoidectomy, no reconstruction13.17 wRVU

    Not priced

  • 69632

    Tympanoplasty, without mastoidectomy, with ossicular reconstruction12.64 wRVU

    Not priced

  • 69633

    Tympanoplasty, mastoidectomy with ossicular reconstruction12 wRVU

    Not priced

How to choose

69635TympanoplastyWith mastoidectomy, no reconstruction
69635 describes mastoidectomy with an intact or reconstructed canal wall and no ossicular chain reconstruction. 69637 includes chain reconstruction and radical or complete mastoidectomy.
69632TympanoplastyWithout mastoidectomy, with ossicular reconstruction
69632 includes ossicular chain reconstruction without mastoidectomy. Use 69637 when the operation also includes radical or complete mastoidectomy.
69633TympanoplastyMastoidectomy with ossicular reconstruction
69633 includes tympanoplasty with mastoidectomy but no ossicular chain reconstruction. 69637 includes chain reconstruction and radical or complete mastoidectomy.

Codes related to 69636

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

Codes related to 69636
CodeHow it relatesNational office range
Same family
69635Tympanoplasty, with mastoidectomy, no reconstructionIntact or reconstructed canal wall mastoidectomy without ossicular chain reconstruction.No office rate
69633Tympanoplasty, mastoidectomy with ossicular reconstructionTympanoplasty with mastoidectomy without ossicular chain reconstruction.No office rate
69632Tympanoplasty, without mastoidectomy, with ossicular reconstructionTympanoplasty with ossicular chain reconstruction but without mastoidectomy.No office rate
69631Tympanoplasty, no mastoidectomy or chain reconstructionTympanoplasty without mastoidectomy or ossicular chain reconstruction.No office rate

69636 billing questions

How does 69637 differ from 69636?

Both include ossicular chain reconstruction with mastoidectomy. 69637 is for radical or complete mastoidectomy, while 69636 describes surgery with an intact or reconstructed canal wall.

When is 69637 appropriate instead of 69632?

69637 includes radical or complete mastoidectomy as well as ossicular chain reconstruction. 69632 is for tympanoplasty with chain reconstruction without mastoidectomy.

What should the operative report document?

Document the extent of mastoidectomy, the tympanoplasty performed, and the ossicular chain reconstruction. These details support choosing 69637 over less extensive mastoidectomy or non-reconstruction codes.

How is bilateral surgery reported?

CMS identifies this as a bilateral procedure; modifier 50 is paid at 150%. The operative documentation should support surgery on both sides.

Can an assistant or co-surgeon be billed?

An assistant at surgery is payable only with documentation of medical necessity. Co-surgeons and team surgery are not permitted for this code.

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
RVUs for 69636PPRRVU2026_Oct_nonQPP.csv, line 7,629 (RVU26D)

Open CMS sourceHow we calculate rates

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