CPT code 69645: Tympanoplasty, complete mastoidectomy, no ossicular reconstruction2026 Medicare rate & RVUs in South Carolina
Reports tympanic membrane and middle-ear repair performed with complete mastoidectomy when the surgeon does not reconstruct the ossicular chain.
In South Carolina, Medicare pays $1,283.45 for 69645 in a facility. There’s no office rate.
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
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 South Carolina 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. South Carolina pays $1,283.45. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Carolina · this page$1,283.45
- Los Angeles, CA · California$1,478.70+$195.25
- Washington, DC area · District of Columbia$1,518.44+$234.99
- Miami, FL · Florida$1,504.08+$220.63
- Chicago, IL · Illinois$1,462.85+$179.40
- Manhattan, NY · New York$1,550.50+$267.05
- Alaska · Alaska$1,633.67+$350.22
Other areas in South Carolina first, then benchmark localities. Bars start at $0.
Every other payment area
| 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 |
| New MexicoNew Mexico | — | $1,306.74 |
| 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 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.
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 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
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 South Carolina 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
93
- Locality
- South Carolina
- Physician work
- 1.000
- Practice expense
- 0.924
- Malpractice
- 0.850
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 16.29 | × 1.000 | 16.2900 |
| Practice expense | 21.73 | × 0.924 | 20.0785 |
| Malpractice | 2.42 | × 0.850 | 2.0570 |
| Total RVUs | 38.4255 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, South Carolina$1283.45
Facility: (16.29 × 1 + 21.73 × 0.924 + 2.42 × 0.85) × $33.4009 = $1283.45
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
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
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).
How 69645 has changed in South Carolina
69645 · 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 | $1,283.45 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,283.45 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,283.45 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,283.45 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,352.39 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,352.39 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,352.39 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,352.39 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,391.50 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,391.50 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,391.50 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,391.50 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,368.79 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,415.24 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,415.24 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,415.24 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,415.24 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,432.01 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,432.01 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,432.01 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,432.01 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,424.86 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,424.86 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,424.86 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,424.86 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,386.14 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,386.14 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,386.14 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,386.14 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,383.59 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,383.59 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,383.59 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,383.59 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,365.12 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,365.12 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,365.12 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,365.12 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,387.93 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,387.93 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,387.93 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,387.93 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,407.47 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,407.47 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,407.47 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,407.47 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,408.38 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,408.38 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,401.37 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,401.37 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,391.98 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,391.98 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,391.98 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,391.98 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,385.83 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,385.83 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,385.83 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,385.83 | RVU13AR |
Where the South Carolina rate applies
South Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 475 cities and communities in South Carolina. Some span more than one payment area; confirm with the service ZIP.
- Abbeville
- Abney Crossroads
- Adams Run
- Aiken
- Alcolu
- Allendale
- Anderson
- Andrews
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
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