CPT code 69636: Tympanoplasty, radical or complete mastoidectomy2026 Medicare rate & RVUs in Arkansas
Reports tympanoplasty with radical or complete mastoidectomy and ossicular chain reconstruction for disease requiring extensive mastoid surgery and middle-ear reconstruction.
In Arkansas, Medicare pays $1,153.16 for 69636 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 69636 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
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.
How Arkansas compares for 69636
Across 109 of 109 payment localities, the facility rate for 69636 runs from $1,153.16 in Arkansas to $1,626.08 in San Benito County, CA. Arkansas pays $1,153.16. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Arkansas · this page$1,153.16
- Los Angeles, CA · California$1,415.91+$262.75
- Washington, DC area · District of Columbia$1,451.72+$298.56
- Miami, FL · Florida$1,430.38+$277.22
- Chicago, IL · Illinois$1,391.09+$237.93
- Manhattan, NY · New York$1,479.92+$326.76
- Alaska · Alaska$1,554.00+$400.84
Other areas in Arkansas first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,168.31 |
| ArizonaArizona | — | $1,256.61 |
| Bakersfield, CACalifornia | — | $1,338.74 |
| Chico, CACalifornia | — | $1,332.40 |
| El Centro, CACalifornia | — | $1,332.76 |
| Fresno, CACalifornia | — | $1,332.40 |
| Hanford, CACalifornia | — | $1,332.40 |
| Madera, CACalifornia | — | $1,332.40 |
| Merced, CACalifornia | — | $1,332.40 |
| Modesto, CACalifornia | — | $1,332.40 |
| Napa, CACalifornia | — | $1,511.92 |
| Oxnard, CACalifornia | — | $1,405.67 |
| Redding, CACalifornia | — | $1,332.40 |
| Rest of CaliforniaCalifornia | — | $1,332.40 |
| Riverside, CACalifornia | — | $1,356.09 |
| Sacramento, CACalifornia | — | $1,389.76 |
| Salinas, CACalifornia | — | $1,384.40 |
| San Diego, CACalifornia | — | $1,410.74 |
| Marin County, CACalifornia | — | $1,590.07 |
| San Francisco, CACalifornia | — | $1,587.59 |
| San Benito County, CACalifornia | — | $1,626.08 |
| Santa Clara County, CACalifornia | — | $1,615.91 |
| San Luis Obispo, CACalifornia | — | $1,363.09 |
| Santa Cruz, CACalifornia | — | $1,419.35 |
| Santa Maria, CACalifornia | — | $1,387.89 |
| Santa Rosa, CACalifornia | — | $1,433.15 |
| Stockton, CACalifornia | — | $1,332.40 |
| Vallejo, CACalifornia | — | $1,508.33 |
| Visalia, CACalifornia | — | $1,332.40 |
| Yuba City, CACalifornia | — | $1,332.40 |
| ColoradoColorado | — | $1,324.97 |
| ConnecticutConnecticut | — | $1,369.64 |
| DelawareDelaware | — | $1,275.83 |
| Fort Lauderdale, FLFlorida | — | $1,357.66 |
| Rest of FloridaFlorida | — | $1,294.66 |
| Atlanta, GAGeorgia | — | $1,316.90 |
| Rest of GeorgiaGeorgia | — | $1,226.23 |
| Hawaii, Guam, HIHawaii | — | $1,356.27 |
| IowaIowa | — | $1,184.50 |
| IdahoIdaho | — | $1,193.62 |
| East St. Louis, ILIllinois | — | $1,306.34 |
| Rest of IllinoisIllinois | — | $1,268.36 |
| Suburban Chicago, ILIllinois | — | $1,368.53 |
| IndianaIndiana | — | $1,199.57 |
| KansasKansas | — | $1,184.47 |
| KentuckyKentucky | — | $1,203.83 |
| New Orleans, LALouisiana | — | $1,257.11 |
| Rest of LouisianaLouisiana | — | $1,204.12 |
| Metropolitan Boston, MAMassachusetts | — | $1,440.30 |
| Rest of MassachusettsMassachusetts | — | $1,320.29 |
| Baltimore area, MDMaryland | — | $1,366.75 |
| Rest of MarylandMaryland | — | $1,296.87 |
| Rest of MaineMaine | — | $1,204.52 |
| Southern Maine, MEMaine | — | $1,255.86 |
| Detroit, MIMichigan | — | $1,314.47 |
| Rest of MichiganMichigan | — | $1,236.61 |
| MinnesotaMinnesota | — | $1,258.48 |
| Metropolitan Kansas City, MOMissouri | — | $1,244.05 |
| Metropolitan St. Louis, MOMissouri | — | $1,255.16 |
| Rest of MissouriMissouri | — | $1,188.87 |
| MississippiMississippi | — | $1,170.97 |
| MontanaMontana | — | $1,289.13 |
| North CarolinaNorth Carolina | — | $1,215.05 |
| North DakotaNorth Dakota | — | $1,245.82 |
| NebraskaNebraska | — | $1,188.82 |
| New HampshireNew Hampshire | — | $1,309.40 |
| Northern New JerseyNew Jersey | — | $1,440.10 |
| Rest of New JerseyNew Jersey | — | $1,382.13 |
| New MexicoNew Mexico | — | $1,244.73 |
| NevadaNevada | — | $1,277.77 |
| NYC suburbs and Long Island, NYNew York | — | $1,519.02 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,395.05 |
| Queens, NYNew York | — | $1,483.66 |
| Rest of New YorkNew York | — | $1,231.86 |
| OhioOhio | — | $1,227.76 |
| OklahomaOklahoma | — | $1,196.59 |
| Portland, OROregon | — | $1,357.82 |
| Rest of OregonOregon | — | $1,264.69 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,341.70 |
| Rest of PennsylvaniaPennsylvania | — | $1,226.72 |
| Puerto RicoPuerto Rico | — | $1,296.03 |
| Rhode IslandRhode Island | — | $1,314.47 |
| South CarolinaSouth Carolina | — | $1,224.06 |
| South DakotaSouth Dakota | — | $1,240.70 |
| TennesseeTennessee | — | $1,190.45 |
| Austin, TXTexas | — | $1,323.34 |
| Beaumont, TXTexas | — | $1,219.84 |
| Brazoria, TXTexas | — | $1,270.78 |
| Dallas, TXTexas | — | $1,280.55 |
| Fort Worth, TXTexas | — | $1,274.37 |
| Galveston, TXTexas | — | $1,275.72 |
| Houston, TXTexas | — | $1,315.80 |
| Rest of TexasTexas | — | $1,245.78 |
| UtahUtah | — | $1,238.99 |
| VirginiaVirginia | — | $1,255.64 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,296.03 |
| VermontVermont | — | $1,246.00 |
| Rest of WashingtonWashington | — | $1,316.15 |
| King County, WAWashington | — | $1,463.03 |
| WisconsinWisconsin | — | $1,208.68 |
| West VirginiaWest Virginia | — | $1,227.30 |
| WyomingWyoming | — | $1,270.26 |
69636 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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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
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.
The exact Arkansas inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,629
- Code
- 69636
- Physician work
- 15.04
- Practice expense
- 21.37
- Malpractice
- 2.19
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 15.04 | × 1.000 | 15.0400 |
| Practice expense | 21.37 | × 0.859 | 18.3568 |
| Malpractice | 2.19 | × 0.515 | 1.1279 |
| Total RVUs | 34.5247 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Arkansas$1153.16
Facility: (15.04 × 1 + 21.37 × 0.859 + 2.19 × 0.515) × $33.4009 = $1153.16
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.07/0.79/0.14 | Share 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.
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).
How 69636 has changed in Arkansas
69636 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1,153.16 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,153.16 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,153.16 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,153.16 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,221.52 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,221.52 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,221.52 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,221.52 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,259.63 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,259.63 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,259.63 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,259.63 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,239.07 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,281.75 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,281.75 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,281.75 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,281.75 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,295.98 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,295.98 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,295.98 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,295.98 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,289.79 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,289.79 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,289.79 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,289.79 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,269.69 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,269.69 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,269.69 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,269.69 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,283.80 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,283.80 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,283.80 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,283.80 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,269.73 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,269.73 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,269.73 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,269.73 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,278.13 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,278.13 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,278.13 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,278.13 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,287.15 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,287.15 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,287.15 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,287.15 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,284.22 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,284.22 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,277.83 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,277.83 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,275.82 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,275.82 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,275.82 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,275.82 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,278.82 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,278.82 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,278.82 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,278.82 | RVU13AR |
Where the Arkansas rate applies
Arkansas is a Medicare payment area, not a city. Our Census mapping connects it to 626 cities and communities in Arkansas. Some span more than one payment area; confirm with the service ZIP.
- Acorn
- Adona
- Alexander
- Alicia
- Alix
- Alleene
- Allport
- Alma
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
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