CPT code 69641: Tympanoplasty, mastoidectomy, no ossicular reconstruction2026 Medicare rate & RVUs in Nebraska

In Nebraska, Medicare pays $855.39 for 69641 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 69641 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 69641 covers

An otolaryngologist, often a neurotologist, performs this operation to repair the tympanic membrane while operating on the mastoid and middle ear. It may be used for chronic ear disease, including cholesteatoma, when the surgical plan requires mastoidectomy along with tympanic membrane reconstruction. Canalplasty and related middle-ear work are included when performed as part of the service. The procedure is typically done in an operating room, such as a hospital or ambulatory surgery center.

Select the code from the operative work: tympanoplasty with mastoidectomy, with no ossicular chain reconstruction. The operative report should describe the tympanic membrane repair, mastoid work, middle-ear procedures, and whether the ossicular chain was reconstructed. The day-before preoperative visit and 90 days of related postoperative care are included in the global period. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures at 50%. For bilateral reporting with modifier 50, CMS pays 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 Nebraska compares for 69641

Across 109 of 109 payment localities, the facility rate for 69641 runs from $835.28 in Arkansas to $1,143.11 in San Benito County, CA. Nebraska pays $855.39. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

69641 rates by state

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

See 69641 in every payment locality

How the 69641 rate is calculated

Each of 69641’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 69641

69641 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 69641

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

How 69641 has changed in Nebraska

Price 69641 for an earlier date of service

Where the Nebraska rate applies

Nebraska is a Medicare payment area, not a city. Our Census mapping connects it to 593 cities and communities in Nebraska. Some span more than one payment area; confirm with the service ZIP.

• Abie
• Adams
• Agnew
• Ainsworth
• Albion
• Alda
• Alexandria
• Allen

Browse all communities in Nebraska

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