CPT code 69645: Tympanoplasty, complete mastoidectomy, no ossicular reconstruction2026 Medicare rate & RVUs in New Mexico

Reports tympanic membrane and middle-ear repair performed with complete mastoidectomy when the surgeon does not reconstruct the ossicular chain.

CMS RVU26DEffective Oct 1, 2026One payment locality363 Medicare services in 2024

In New Mexico, Medicare pays $1,306.74 for 69645 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)

$1,306.74Hospital or facility

Check a contract rate as a % of Medicare · 69645 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 New Mexico
What 69645 covers
Compared with other areas
Rate map
How it’s calculated
Payment rules
Related codes
Rate history
Where it applies
Billing questions
Sources

What 69645 covers

An otolaryngologist uses this code for tympanoplasty combined with complete mastoidectomy, including associated work in the ear canal or middle ear. A typical clinical setting is surgery for chronic middle-ear disease or cholesteatoma involving the mastoid. The distinguishing feature is the extent of mastoid removal; ossicular chain reconstruction is not part of this service.

Choose the code from the operative report, which should support complete mastoidectomy and describe the tympanoplasty and middle-ear work performed. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For bilateral surgery reported with modifier 50, CMS pays at 150%. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and the others at 50%. CMS does not pay an assistant at surgery for this code; 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 New Mexico compares for 69645

Across 109 of 109 payment localities, the facility rate for 69645 runs from $1,209.19 in Arkansas to $1,693.88 in San Benito County, CA. New Mexico pays $1,306.74. The RVUs are the same everywhere; the geographic indexes change the dollars.

69645 in New Mexico vs other payment areas

New Mexico · this page$1,306.74
Los Angeles, CA · California$1,478.70+$171.96
Washington, DC area · District of Columbia$1,518.44+$211.70
Miami, FL · Florida$1,504.08+$197.34
Chicago, IL · Illinois$1,462.85+$156.11
Manhattan, NY · New York$1,550.50+$243.76
Alaska · Alaska$1,633.67+$326.93

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

Every other payment area

69645 in every other Medicare payment locality
Payment locality	Office	Facility
AlabamaAlabama	—	$1,224.93
ArkansasArkansas	—	$1,209.19
ArizonaArizona	—	$1,316.59
Bakersfield, CACalifornia	—	$1,399.14
Chico, CACalifornia	—	$1,392.15
El Centro, CACalifornia	—	$1,392.56
Fresno, CACalifornia	—	$1,392.15
Hanford, CACalifornia	—	$1,392.15
Madera, CACalifornia	—	$1,392.15
Merced, CACalifornia	—	$1,392.15
Modesto, CACalifornia	—	$1,392.15
Napa, CACalifornia	—	$1,576.05
Oxnard, CACalifornia	—	$1,467.59
Redding, CACalifornia	—	$1,392.15
Rest of CaliforniaCalifornia	—	$1,392.15
Riverside, CACalifornia	—	$1,418.32
Sacramento, CACalifornia	—	$1,451.12
Salinas, CACalifornia	—	$1,445.50
San Diego, CACalifornia	—	$1,472.29
Marin County, CACalifornia	—	$1,656.27
San Francisco, CACalifornia	—	$1,653.52
San Benito County, CACalifornia	—	$1,693.88
Santa Clara County, CACalifornia	—	$1,682.65
San Luis Obispo, CACalifornia	—	$1,423.36
Santa Cruz, CACalifornia	—	$1,480.70
Santa Maria, CACalifornia	—	$1,448.95
Santa Rosa, CACalifornia	—	$1,495.03
Stockton, CACalifornia	—	$1,392.15
Vallejo, CACalifornia	—	$1,572.09
Visalia, CACalifornia	—	$1,392.15
Yuba City, CACalifornia	—	$1,392.15
ColoradoColorado	—	$1,386.01
ConnecticutConnecticut	—	$1,434.48
DelawareDelaware	—	$1,336.58
Fort Lauderdale, FLFlorida	—	$1,425.48
Rest of FloridaFlorida	—	$1,359.45
Atlanta, GAGeorgia	—	$1,380.22
Rest of GeorgiaGeorgia	—	$1,287.87
Hawaii, Guam, HIHawaii	—	$1,416.14
IowaIowa	—	$1,240.30
IdahoIdaho	—	$1,250.07
East St. Louis, ILIllinois	—	$1,374.63
Rest of IllinoisIllinois	—	$1,333.10
Suburban Chicago, ILIllinois	—	$1,436.54
IndianaIndiana	—	$1,256.20
KansasKansas	—	$1,240.96
KentuckyKentucky	—	$1,263.30
New Orleans, LALouisiana	—	$1,318.90
Rest of LouisianaLouisiana	—	$1,263.87
Metropolitan Boston, MAMassachusetts	—	$1,504.95
Rest of MassachusettsMassachusetts	—	$1,381.50
Baltimore area, MDMaryland	—	$1,431.58
Rest of MarylandMaryland	—	$1,358.25
Rest of MaineMaine	—	$1,262.11
Southern Maine, MEMaine	—	$1,314.37
Detroit, MIMichigan	—	$1,380.78
Rest of MichiganMichigan	—	$1,298.01
MinnesotaMinnesota	—	$1,314.88
Metropolitan Kansas City, MOMissouri	—	$1,304.60
Metropolitan St. Louis, MOMissouri	—	$1,316.06
Rest of MissouriMissouri	—	$1,248.47
MississippiMississippi	—	$1,228.75
MontanaMontana	—	$1,350.57
North CarolinaNorth Carolina	—	$1,272.92
North DakotaNorth Dakota	—	$1,302.72
NebraskaNebraska	—	$1,244.57
New HampshireNew Hampshire	—	$1,370.39
Northern New JerseyNew Jersey	—	$1,506.64
Rest of New JerseyNew Jersey	—	$1,447.11
NevadaNevada	—	$1,337.96
NYC suburbs and Long Island, NYNew York	—	$1,592.00
Poughkeepsie and northern NYC suburbs, NYNew York	—	$1,461.14
Queens, NYNew York	—	$1,553.38
Rest of New YorkNew York	—	$1,290.44
OhioOhio	—	$1,288.23
OklahomaOklahoma	—	$1,255.05
Portland, OROregon	—	$1,419.31
Rest of OregonOregon	—	$1,323.82
Metropolitan Philadelphia, PAPennsylvania	—	$1,405.88
Rest of PennsylvaniaPennsylvania	—	$1,286.77
Puerto RicoPuerto Rico	—	$1,357.50
Rhode IslandRhode Island	—	$1,376.29
South CarolinaSouth Carolina	—	$1,283.45
South DakotaSouth Dakota	—	$1,297.06
TennesseeTennessee	—	$1,247.26
Austin, TXTexas	—	$1,384.70
Beaumont, TXTexas	—	$1,279.67
Brazoria, TXTexas	—	$1,330.77
Dallas, TXTexas	—	$1,341.25
Fort Worth, TXTexas	—	$1,335.04
Galveston, TXTexas	—	$1,336.10
Houston, TXTexas	—	$1,380.40
Rest of TexasTexas	—	$1,305.88
UtahUtah	—	$1,298.94
VirginiaVirginia	—	$1,314.63
Virgin Islands, VIUnited States Virgin Islands	—	$1,357.50
VermontVermont	—	$1,303.54
Rest of WashingtonWashington	—	$1,376.95
King County, WAWashington	—	$1,527.90
WisconsinWisconsin	—	$1,264.31
West VirginiaWest Virginia	—	$1,290.49
WyomingWyoming	—	$1,329.72

69645 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.

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69645 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 69645 in every payment locality

How the 69645 rate is calculated

Each of 69645’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 · 69645

RVUs × geographic indexes × conversion factor

Office or facility?

Your ZIP

Work16.29

16.29 RVUs× 1.000 GPCI

Practice expense21.73

21.73 RVUs× 1.000 GPCI

Malpractice2.42

2.42 RVUs× 1.000 GPCI

Adjusted RVUs

40.4400

Conversion factor

$33.4009

Medicare rate

$1,350.73

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

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,635

Code: 69645
Physician work: 16.29
Practice expense: 21.73
Malpractice: 2.42

GPCI2026.csv

Locality: New Mexico
Physician work: 1.000
Practice expense: 0.917
Malpractice: 1.201

Facility calculation for 69645 in New Mexico
Component	RVU	Locality factor	Adjusted
Physician work	16.29	× 1.000	16.2900
Practice expense	21.73	× 0.917	19.9264
Malpractice	2.42	× 1.201	2.9064
Total RVUs			39.1228
Conversion factor			× 33.4009

Facility rate, New Mexico$1306.74

Facility: (16.29 × 1 + 21.73 × 0.917 + 2.42 × 1.201) × $33.4009 = $1306.74

Open 69645 in the RVU calculator

Payment rules and modifiers for 69645

69645 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 69645

Tympanoplasty, complete mastoidectomy, no ossicular reconstruction

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 · 69645

Tympanoplasty, complete mastoidectomy, no ossicular reconstruction

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

69645 without 50 · national facility

$1,350.73

Tympanoplasty, complete mastoidectomy, no ossicular reconstruction

69645-50 · Bilateral: 150%

$2,026.10

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 69645

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

Codes related to 69645
Code	How it relates	Office range, New Mexico
Same family
69641	Tympanoplasty, mastoidectomy, no ossicular reconstructionTympanoplasty with mastoidectomy without the complete-mastoidectomy distinction.	No office rate
69642	Tympanoplasty, with mastoidectomy and reconstructionRelated tympanoplasty-mastoidectomy service that includes ossicular chain reconstruction.	No office rate
69644	Tympanoplasty, canal wall preserved, ossicles reconstructedRelated tympanoplasty-mastoidectomy variant distinguished by canal-wall status.	No office rate
69646	Ear revision surgery, middle ear and mastoidComplete-mastoidectomy variant that includes ossicular chain reconstruction.	No office rate
Used instead
69631	Tympanoplasty, no mastoidectomy or chain reconstructionTympanoplasty without mastoidectomy when mastoid surgery is not performed.	No office rate

How 69645 has changed in New Mexico

69645 · 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	$1,306.74	RVU26D
2026-07-01	Not available in this setting	$1,306.74	RVU26C
2026-04-01	Not available in this setting	$1,306.74	RVU26B
2026-01-01	Not available in this setting	$1,306.74	RVU26A
2025-10-01	Not available in this setting	$1,376.55	RVU25D
2025-07-01	Not available in this setting	$1,376.55	RVU25C
2025-04-01	Not available in this setting	$1,376.55	RVU25B
2025-01-01	Not available in this setting	$1,376.55	RVU25A
2024-10-01	Not available in this setting	$1,416.12	RVU24D
2024-07-01	Not available in this setting	$1,416.12	RVU24C
2024-04-01	Not available in this setting	$1,416.12	RVU24B
2024-03-09	Not available in this setting	$1,416.12	RVU24AR
2024-01-01	Not available in this setting	$1,393.01	RVU24A
2023-10-01	Not available in this setting	$1,443.34	RVU23D
2023-07-01	Not available in this setting	$1,443.34	RVU23C
2023-04-01	Not available in this setting	$1,443.34	RVU23B
2023-01-01	Not available in this setting	$1,443.34	RVU23A
2022-10-01	Not available in this setting	$1,465.45	RVU22D
2022-07-01	Not available in this setting	$1,465.45	RVU22C
2022-04-01	Not available in this setting	$1,465.45	RVU22B
2022-01-01	Not available in this setting	$1,465.45	RVU22A
2021-10-01	Not available in this setting	$1,457.56	RVU21D
2021-07-01	Not available in this setting	$1,457.56	RVU21C
2021-04-01	Not available in this setting	$1,457.56	RVU21B
2021-01-01	Not available in this setting	$1,457.56	RVU21A
2020-10-01	Not available in this setting	$1,435.96	RVU20D
2020-07-01	Not available in this setting	$1,435.96	RVU20C
2020-04-01	Not available in this setting	$1,435.96	RVU20B
2020-01-01	Not available in this setting	$1,435.96	RVU20A
2019-10-01	Not available in this setting	$1,451.60	RVU19D
2019-07-01	Not available in this setting	$1,451.60	RVU19C
2019-04-01	Not available in this setting	$1,451.60	RVU19B
2019-01-01	Not available in this setting	$1,451.60	RVU19A
2018-10-01	Not available in this setting	$1,431.40	RVU18D
2018-07-01	Not available in this setting	$1,431.40	RVU18C
2018-04-01	Not available in this setting	$1,431.40	RVU18B
2018-01-01	Not available in this setting	$1,431.40	RVU18AR1
2017-10-01	Not available in this setting	$1,443.86	RVU17D
2017-07-01	Not available in this setting	$1,443.86	RVU17C
2017-04-01	Not available in this setting	$1,443.86	RVU17B
2017-01-01	Not available in this setting	$1,443.86	RVU17A
2016-10-01	Not available in this setting	$1,452.32	RVU16D
2016-07-01	Not available in this setting	$1,452.32	RVU16C
2016-04-01	Not available in this setting	$1,452.32	RVU16B
2016-01-01	Not available in this setting	$1,452.32	RVU16A
2015-10-01	Not available in this setting	$1,454.63	RVU15D
2015-07-01	Not available in this setting	$1,454.63	RVU15C
2015-04-01	Not available in this setting	$1,447.39	RVU15B
2015-01-01	Not available in this setting	$1,447.39	RVU15A
2014-10-01	Not available in this setting	$1,432.07	RVU14D
2014-07-01	Not available in this setting	$1,432.07	RVU14C
2014-04-01	Not available in this setting	$1,432.07	RVU14B
2014-01-01	Not available in this setting	$1,432.07	RVU14A
2013-10-01	Not available in this setting	$1,427.21	RVU13D
2013-07-01	Not available in this setting	$1,427.21	RVU13C
2013-04-01	Not available in this setting	$1,427.21	RVU13B
2013-01-01	Not available in this setting	$1,427.21	RVU13AR

Price 69645 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

Abeytas
Abiquiu
Acomita Lake
Adelino
Agua Fria
Alamillo
Alamo
Alamogordo

Browse all communities in New Mexico

69645 billing questions

How does 69645 differ from 69641?

69645 identifies tympanoplasty with complete mastoidectomy and no ossicular chain reconstruction. Use 69641 for the corresponding tympanoplasty-mastoidectomy service when the operative report does not support complete mastoidectomy.

Can 69645 be reported when the ossicular chain is reconstructed?

No. This code describes the service without ossicular chain reconstruction; select the applicable complete-mastoidectomy code that includes reconstruction when the surgeon performs it.

Does 69645 include tympanoplasty and mastoid work?

Yes. It represents the combined tympanoplasty and complete mastoidectomy service, including associated canal or middle-ear work described for the procedure.

How is bilateral surgery reported?

Report modifier 50 for bilateral surgery. CMS pays this bilateral procedure at 150%.

How does the multiple-procedure reduction affect 69645?

When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and the other procedures at 50%.

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 69645PPRRVU2026_Oct_nonQPP.csv, line 7,635 (RVU26D)

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

7,63769650,,[CPT descriptor omitted],A,,9.56,10.53,NA,10.53,,1.39,21.48,21.48,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

7,63869660,,[CPT descriptor omitted],A,,11.73,11.07,NA,11.07,,1.72,24.52,24.52,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875

7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068

7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097

7704212,NM,05,NEW MEXICO,1.000,0.917,1.201

7813202,NY,01,MANHATTAN,1.064,1.162,1.586

7913202,NY,02,NYC SUBURBS/LONG ISLAND,1.064,1.189,1.857

8013202,NY,03,POUGHKPSIE/N NYC SUBURBS,1.045,1.095,1.210

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What 69645 covers

How New Mexico compares for 69645

Every other payment area

69645 rates by state

How the 69645 rate is calculated

Payment rules and modifiers for 69645

What modifiers do to the payment

Codes related to 69645

How 69645 has changed in New Mexico

Where the New Mexico rate applies

69645 billing questions

How does 69645 differ from 69641?

Can 69645 be reported when the ossicular chain is reconstructed?

Does 69645 include tympanoplasty and mastoid work?

How is bilateral surgery reported?

How does the multiple-procedure reduction affect 69645?

Where these rates come from

Did this answer your question about what 69645 pays in New Mexico?

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