CPT code 69646: Ear revision surgery, middle ear and mastoid2026 Medicare rate & RVUs in Oklahoma

In Oklahoma, Medicare pays $1,331.52 for 69646 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 69646 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 69646 covers

CPT 69646 represents revision surgery involving the middle ear and mastoid, typically performed by an otolaryngologist or neurotologist in an operating room. The surgeon re-enters previously operated ear anatomy to address a persistent or recurrent problem, such as disease in a mastoid cavity or a failed prior middle-ear repair. The operative report should establish the prior surgery and describe the structures revised and the work performed; the diagnosis alone does not establish this code.

Report the code for the revision procedure actually performed, distinguishing it from a primary tympanoplasty or a mastoidectomy with a different documented result. 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 one session, the highest-valued procedure is paid in full and the others at 50%. For bilateral surgery, modifier 50 is paid at 150%. An assistant is paid only when medical necessity is documented. CMS does not permit co-surgeons or team surgery for this code.

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 Oklahoma compares for 69646

Across 109 of 109 payment localities, the facility rate for 69646 runs from $1,282.41 in Arkansas to $1,782.61 in San Benito County, CA. Oklahoma pays $1,331.52. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

69646 rates by state

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

See 69646 in every payment locality

How the 69646 rate is calculated

Each of 69646’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 69646

69646 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 69646

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

How 69646 has changed in Oklahoma

Price 69646 for an earlier date of service

Where the Oklahoma rate applies

Oklahoma is a Medicare payment area, not a city. Our Census mapping connects it to 846 cities and communities in Oklahoma. Some span more than one payment area; confirm with the service ZIP.

• Lahoma
• Achille
• Ada
• Adair
• Adams
• Adamson
• Addington
• Afton

Browse all communities in Oklahoma

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