CPT code 69643: Tympanoplasty, intact or rebuilt canal wall2026 Medicare rate & RVUs in Arkansas

Report this operation for tympanic membrane repair with mastoid surgery when the canal wall is preserved or reconstructed and the ossicular chain is not rebuilt.

CMS RVU26DEffective Oct 1, 2026One payment locality762 Medicare services in 2024

In Arkansas, Medicare pays $979.69 for 69643 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)

$979.69Hospital or facility

Check a contract rate as a % of Medicare · 69643 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

Rate in Arkansas
What 69643 covers
Compared with other areas
Rate map
How it’s calculated
Payment rules
Related codes
Rate history
Where it applies
Billing questions
Sources

What 69643 covers

An otolaryngologist typically performs this operation in an operating room for chronic middle-ear or mastoid disease, including cases requiring removal of diseased tissue and repair of a tympanic membrane defect. The procedure combines tympanoplasty with mastoid work; its distinguishing features are an intact or reconstructed ear canal wall and no ossicular chain reconstruction. Canalplasty and related middle-ear work may be part of the operation.

Select the code from the operative report: it should support the tympanoplasty and mastoidectomy, the canal-wall approach, and the absence of ossicular chain reconstruction. This major surgery has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. For bilateral reporting with modifier 50, payment is 150%. Medicare does not pay an assistant at surgery; 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 69643

Across 109 of 109 payment localities, the facility rate for 69643 runs from $979.69 in Arkansas to $1,340.10 in Alaska. Arkansas pays $979.69. The RVUs are the same everywhere; the geographic indexes change the dollars.

69643 in Arkansas vs other payment areas

Arkansas · this page$979.69
Los Angeles, CA · California$1,175.11+$195.42
Washington, DC area · District of Columbia$1,213.23+$233.54
Miami, FL · Florida$1,224.13+$244.44
Chicago, IL · Illinois$1,191.79+$212.10
Manhattan, NY · New York$1,246.11+$266.42
Alaska · Alaska$1,340.10+$360.41

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

Every other payment area

69643 in every other Medicare payment locality
Payment locality	Office	Facility
AlabamaAlabama	—	$991.62
ArizonaArizona	—	$1,060.99
Bakersfield, CACalifornia	—	$1,115.92
Chico, CACalifornia	—	$1,109.37
El Centro, CACalifornia	—	$1,109.75
Fresno, CACalifornia	—	$1,109.37
Hanford, CACalifornia	—	$1,109.37
Madera, CACalifornia	—	$1,109.37
Merced, CACalifornia	—	$1,109.37
Modesto, CACalifornia	—	$1,109.37
Napa, CACalifornia	—	$1,242.49
Oxnard, CACalifornia	—	$1,164.90
Redding, CACalifornia	—	$1,109.37
Rest of CaliforniaCalifornia	—	$1,109.37
Riverside, CACalifornia	—	$1,133.91
Sacramento, CACalifornia	—	$1,152.78
Salinas, CACalifornia	—	$1,148.23
San Diego, CACalifornia	—	$1,166.83
Marin County, CACalifornia	—	$1,301.39
San Francisco, CACalifornia	—	$1,298.82
San Benito County, CACalifornia	—	$1,330.98
Santa Clara County, CACalifornia	—	$1,320.44
San Luis Obispo, CACalifornia	—	$1,131.04
Santa Cruz, CACalifornia	—	$1,171.38
Santa Maria, CACalifornia	—	$1,150.24
Santa Rosa, CACalifornia	—	$1,182.50
Stockton, CACalifornia	—	$1,109.37
Vallejo, CACalifornia	—	$1,238.78
Visalia, CACalifornia	—	$1,109.37
Yuba City, CACalifornia	—	$1,109.37
ColoradoColorado	—	$1,109.28
ConnecticutConnecticut	—	$1,152.42
DelawareDelaware	—	$1,076.37
Fort Lauderdale, FLFlorida	—	$1,155.35
Rest of FloridaFlorida	—	$1,103.49
Atlanta, GAGeorgia	—	$1,112.36
Rest of GeorgiaGeorgia	—	$1,047.66
Hawaii, Guam, HIHawaii	—	$1,124.66
IowaIowa	—	$998.97
IdahoIdaho	—	$1,007.25
East St. Louis, ILIllinois	—	$1,124.09
Rest of IllinoisIllinois	—	$1,086.37
Suburban Chicago, ILIllinois	—	$1,163.23
IndianaIndiana	—	$1,011.77
KansasKansas	—	$1,001.54
KentuckyKentucky	—	$1,025.14
New Orleans, LALouisiana	—	$1,068.11
Rest of LouisianaLouisiana	—	$1,026.39
Metropolitan Boston, MAMassachusetts	—	$1,197.79
Rest of MassachusettsMassachusetts	—	$1,106.98
Baltimore area, MDMaryland	—	$1,150.42
Rest of MarylandMaryland	—	$1,092.44
Rest of MaineMaine	—	$1,018.55
Southern Maine, MEMaine	—	$1,055.02
Detroit, MIMichigan	—	$1,121.91
Rest of MichiganMichigan	—	$1,053.46
MinnesotaMinnesota	—	$1,048.77
Metropolitan Kansas City, MOMissouri	—	$1,055.04
Metropolitan St. Louis, MOMissouri	—	$1,063.49
Rest of MissouriMissouri	—	$1,016.01
MississippiMississippi	—	$997.69
MontanaMontana	—	$1,087.38
North CarolinaNorth Carolina	—	$1,026.39
North DakotaNorth Dakota	—	$1,042.50
NebraskaNebraska	—	$1,001.56
New HampshireNew Hampshire	—	$1,098.72
Northern New JerseyNew Jersey	—	$1,205.32
Rest of New JerseyNew Jersey	—	$1,161.57
New MexicoNew Mexico	—	$1,060.94
NevadaNevada	—	$1,075.38
NYC suburbs and Long Island, NYNew York	—	$1,280.26
Poughkeepsie and northern NYC suburbs, NYNew York	—	$1,174.18
Queens, NYNew York	—	$1,245.27
Rest of New YorkNew York	—	$1,039.81
OhioOhio	—	$1,044.29
OklahomaOklahoma	—	$1,016.70
Portland, OROregon	—	$1,132.19
Rest of OregonOregon	—	$1,063.00
Metropolitan Philadelphia, PAPennsylvania	—	$1,131.97
Rest of PennsylvaniaPennsylvania	—	$1,042.03
Puerto RicoPuerto Rico	—	$1,091.94
Rhode IslandRhode Island	—	$1,105.62
South CarolinaSouth Carolina	—	$1,037.85
South DakotaSouth Dakota	—	$1,037.19
TennesseeTennessee	—	$1,006.56
Austin, TXTexas	—	$1,109.14
Beaumont, TXTexas	—	$1,036.79
Brazoria, TXTexas	—	$1,070.38
Dallas, TXTexas	—	$1,079.32
Fort Worth, TXTexas	—	$1,075.27
Galveston, TXTexas	—	$1,075.03
Houston, TXTexas	—	$1,116.58
Rest of TexasTexas	—	$1,054.47
UtahUtah	—	$1,049.56
VirginiaVirginia	—	$1,056.67
Virgin Islands, VIUnited States Virgin Islands	—	$1,091.94
VermontVermont	—	$1,045.04
Rest of WashingtonWashington	—	$1,102.73
King County, WAWashington	—	$1,213.46
WisconsinWisconsin	—	$1,013.90
West VirginiaWest Virginia	—	$1,054.19
WyomingWyoming	—	$1,067.82

69643 rates by state

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

ME WI VT NH MT ND MN MI NY MA RI WA ID WY SD IA IL IN OH PA NJ CT OR NV UT CO NE MO KY WV VA MD DE CA AZ NM KS OK AR TN NC SC DC TX LA MS AL GA FL AK HI

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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

69643 office rate range by state
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

See 69643 in every payment locality

How the 69643 rate is calculated

Each of 69643’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 · 69643

RVUs × geographic indexes × conversion factor

Office or facility?

Your ZIP

Work15.20

15.20 RVUs× 1.000 GPCI

Practice expense15.09

15.09 RVUs× 1.000 GPCI

Malpractice2.27

2.27 RVUs× 1.000 GPCI

Adjusted RVUs

32.5600

Conversion factor

$33.4009

Medicare rate

$1,087.53

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

7,633

Code: 69643
Physician work: 15.20
Practice expense: 15.09
Malpractice: 2.27

GPCI2026.csv

Locality: Arkansas
Physician work: 1.000
Practice expense: 0.859
Malpractice: 0.515

Facility calculation for 69643 in Arkansas
Component	RVU	Locality factor	Adjusted
Physician work	15.20	× 1.000	15.2000
Practice expense	15.09	× 0.859	12.9623
Malpractice	2.27	× 0.515	1.1691
Total RVUs			29.3314
Conversion factor			× 33.4009

Facility rate, Arkansas$979.69

Facility: (15.2 × 1 + 15.09 × 0.859 + 2.27 × 0.515) × $33.4009 = $979.69

Open 69643 in the RVU calculator

Payment rules and modifiers for 69643

69643 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 69643

Tympanoplasty, intact or rebuilt canal wall

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)	1	Not paid (statutory restriction).
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 · 69643

Tympanoplasty, intact or rebuilt canal wall

Date of surgery

Date of a later visit

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

69643 without 50 · national facility

$1,087.53

Tympanoplasty, intact or rebuilt canal wall

69643-50 · Bilateral: 150%

$1,631.30

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

Codes related to 69643

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

Codes related to 69643
Code	How it relates	Office range, Arkansas
Same family
69644	Tympanoplasty, canal wall preserved, ossicles reconstructedCanal-wall approach with ossicular chain reconstruction.	No office rate
69641	Tympanoplasty, mastoidectomy, no ossicular reconstructionTympanoplasty with mastoidectomy without ossicular reconstruction; distinguish by canal-wall details.	No office rate
69645	Tympanoplasty, complete mastoidectomy, no ossicular reconstructionRelated tympanoplasty-mastoidectomy code for a more extensive mastoidectomy.	No office rate
69646	Ear revision surgery, middle ear and mastoidRelated extensive mastoidectomy code that includes ossicular chain reconstruction.	No office rate
Used instead
69631	Tympanoplasty, no mastoidectomy or chain reconstructionTympanoplasty without mastoidectomy when mastoid work is not performed.	No office rate
69632	Tympanoplasty, without mastoidectomy, with ossicular reconstructionTympanoplasty without mastoidectomy when ossicular chain reconstruction is performed.	No office rate

How 69643 has changed in Arkansas

69643 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

Compare with release effective

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 from	Office	Facility	CMS release
2026-10-01	Not available in this setting	$979.69	RVU26D
2026-07-01	Not available in this setting	$979.69	RVU26C
2026-04-01	Not available in this setting	$979.69	RVU26B
2026-01-01	Not available in this setting	$979.69	RVU26A
2025-10-01	Not available in this setting	$1,064.40	RVU25D
2025-07-01	Not available in this setting	$1,064.40	RVU25C
2025-04-01	Not available in this setting	$1,064.40	RVU25B
2025-01-01	Not available in this setting	$1,064.40	RVU25A
2024-10-01	Not available in this setting	$1,102.13	RVU24D
2024-07-01	Not available in this setting	$1,102.13	RVU24C
2024-04-01	Not available in this setting	$1,102.13	RVU24B
2024-03-09	Not available in this setting	$1,102.13	RVU24AR
2024-01-01	Not available in this setting	$1,084.14	RVU24A
2023-10-01	Not available in this setting	$1,119.94	RVU23D
2023-07-01	Not available in this setting	$1,119.94	RVU23C
2023-04-01	Not available in this setting	$1,119.94	RVU23B
2023-01-01	Not available in this setting	$1,119.94	RVU23A
2022-10-01	Not available in this setting	$1,129.38	RVU22D
2022-07-01	Not available in this setting	$1,129.38	RVU22C
2022-04-01	Not available in this setting	$1,129.38	RVU22B
2022-01-01	Not available in this setting	$1,129.38	RVU22A
2021-10-01	Not available in this setting	$1,133.23	RVU21D
2021-07-01	Not available in this setting	$1,133.23	RVU21C
2021-04-01	Not available in this setting	$1,133.23	RVU21B
2021-01-01	Not available in this setting	$1,133.23	RVU21A
2020-10-01	Not available in this setting	$1,128.77	RVU20D
2020-07-01	Not available in this setting	$1,128.77	RVU20C
2020-04-01	Not available in this setting	$1,128.77	RVU20B
2020-01-01	Not available in this setting	$1,128.77	RVU20A
2019-10-01	Not available in this setting	$1,141.23	RVU19D
2019-07-01	Not available in this setting	$1,141.23	RVU19C
2019-04-01	Not available in this setting	$1,141.23	RVU19B
2019-01-01	Not available in this setting	$1,141.23	RVU19A
2018-10-01	Not available in this setting	$1,132.24	RVU18D
2018-07-01	Not available in this setting	$1,132.24	RVU18C
2018-04-01	Not available in this setting	$1,132.24	RVU18B
2018-01-01	Not available in this setting	$1,132.24	RVU18AR1
2017-10-01	Not available in this setting	$1,139.69	RVU17D
2017-07-01	Not available in this setting	$1,139.69	RVU17C
2017-04-01	Not available in this setting	$1,139.69	RVU17B
2017-01-01	Not available in this setting	$1,139.69	RVU17A
2016-10-01	Not available in this setting	$1,145.64	RVU16D
2016-07-01	Not available in this setting	$1,145.64	RVU16C
2016-04-01	Not available in this setting	$1,145.64	RVU16B
2016-01-01	Not available in this setting	$1,145.64	RVU16A
2015-10-01	Not available in this setting	$1,145.63	RVU15D
2015-07-01	Not available in this setting	$1,145.63	RVU15C
2015-04-01	Not available in this setting	$1,139.93	RVU15B
2015-01-01	Not available in this setting	$1,139.93	RVU15A
2014-10-01	Not available in this setting	$1,144.03	RVU14D
2014-07-01	Not available in this setting	$1,144.03	RVU14C
2014-04-01	Not available in this setting	$1,144.03	RVU14B
2014-01-01	Not available in this setting	$1,144.03	RVU14A
2013-10-01	Not available in this setting	$1,136.69	RVU13D
2013-07-01	Not available in this setting	$1,136.69	RVU13C
2013-04-01	Not available in this setting	$1,136.69	RVU13B
2013-01-01	Not available in this setting	$1,136.69	RVU13AR

Price 69643 for an earlier date of service

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

Browse all communities in Arkansas

69643 billing questions

How does 69643 differ from 69641?

Both involve tympanoplasty with mastoidectomy without ossicular chain reconstruction. Choose 69643 when the canal wall is intact or reconstructed; the operative report should establish that feature.

When is 69644 reported instead?

Use 69644 when the canal wall is intact or reconstructed and the operation also includes ossicular chain reconstruction. Code 69643 describes the corresponding canal-wall approach without that reconstruction.

Can canalplasty or middle-ear work be reported separately?

Canalplasty and related middle-ear work may be included in this tympanoplasty-mastoidectomy service. The operative report should identify any separate procedure as distinct rather than an integral part of the operation.

What documentation supports 69643?

Document the tympanoplasty and mastoidectomy, whether the canal wall was preserved or reconstructed, and whether the ossicular chain was reconstructed. These details distinguish 69643 from nearby codes.

How does Medicare handle bilateral reporting and other procedures in the same session?

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

Is an assistant surgeon or co-surgeon payable?

Medicare 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 69643PPRRVU2026_Oct_nonQPP.csv, line 7,633 (RVU26D)

7,63069637,,[CPT descriptor omitted],A,,14.94,21.34,NA,21.34,,2.18,38.46,38.46,0,090,0.07,0.79,0.14,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

7,63169641,,[CPT descriptor omitted],A,,12.57,13.37,NA,13.37,,1.85,27.79,27.79,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

7,63269642,,[CPT descriptor omitted],A,,16.63,16.41,NA,16.41,,2.43,35.47,35.47,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

7,63369643,,[CPT descriptor omitted],A,,15.20,15.09,NA,15.09,,2.27,32.56,32.56,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

7,63469644,,[CPT descriptor omitted],A,,16.80,21.80,NA,21.80,,2.46,41.06,41.06,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

7,63569645,,[CPT descriptor omitted],A,,16.29,21.73,NA,21.73,,2.42,40.44,40.44,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

7,63669646,,[CPT descriptor omitted],A,,17.91,22.21,NA,22.21,,2.73,42.85,42.85,0,090,0.07,0.79,0.14,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

Geographic factors for ArkansasGPCI2026.csv, line 7 (RVU26D)

410112,AL,00,ALABAMA,1.000,0.875,0.566

502102,AK,01,ALASKA*,1.500,1.065,0.551

603102,AZ,00,ARIZONA,1.000,0.969,0.856

707102,AR,13,ARKANSAS,1.000,0.859,0.515

801112,CA,54,BAKERSFIELD,1.019,1.096,0.609

901112,CA,55,CHICO,1.017,1.096,0.536

1001182,CA,71,EL CENTRO,1.017,1.096,0.541

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What 69643 covers

How Arkansas compares for 69643

Every other payment area

69643 rates by state

How the 69643 rate is calculated

Payment rules and modifiers for 69643

What modifiers do to the payment

Codes related to 69643

How 69643 has changed in Arkansas

Where the Arkansas rate applies

69643 billing questions

How does 69643 differ from 69641?

When is 69644 reported instead?

Can canalplasty or middle-ear work be reported separately?

What documentation supports 69643?

How does Medicare handle bilateral reporting and other procedures in the same session?

Is an assistant surgeon or co-surgeon payable?

Where these rates come from

Did this answer your question about what 69643 pays in Arkansas?

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