$654.36–$977.23
69610 is for a limited tympanic membrane repair, often involving site preparation or a patch. Choose 69620 when the procedure documented is myringoplasty.
On this page
CMS RVU26D · Effective 2026-10-01
69610 Eardrum repair Medicare reimbursement rates
Reports a limited repair of a tympanic membrane perforation, such as edge preparation and patch placement, without more extensive middle-ear reconstruction. Compare 69610 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 69610?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
$341.64–$483.89
109 of 109 localities have a supported rate.
Lowest: Arkansas
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $142.25 per service.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 69610 pays more and less
109 payment localities
$341.64 to $483.89
Otolaryngology
About 69610: Simple tympanic membrane repair
Reports a limited repair of a tympanic membrane perforation, such as edge preparation and patch placement, without more extensive middle-ear reconstruction.
An otolaryngologist uses this service for a limited repair of a tympanic membrane perforation, often by preparing the perforation margin and applying a patch. It is commonly performed in an office or outpatient setting for a persistent eardrum opening when a patch-based repair is appropriate. The service may include preparation of the perforation site; a patch may or may not be used.
Choose this code when the documented work is limited to the eardrum repair, rather than a more extensive tympanoplasty involving middle-ear reconstruction. The operative note should identify the perforation, the repair technique, and whether site preparation or a patch was used. Related postoperative visits during the 10-day global period are included. If multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction. For bilateral repair, modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 69610
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU4.36 · 38%
- Practice expense (office) RVU6.46 · 56%
- Malpractice RVU0.62 · 5%
2.7K
Medicare services in 2024 · #2245 by national volume
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.
69610 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
No office rate
69631 describes tympanoplasty without mastoidectomy and without ossicular chain reconstruction. It is a better fit when the operative work extends beyond a limited eardrum repair into middle-ear surgery.
No office rate
69632 is tympanoplasty without mastoidectomy with ossicular chain reconstruction. 69610 is limited to the tympanic membrane repair.
See how rates vary across the country
69610 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
$341.64
$459.65
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $459.65 | 1 |
| AL | $346.15 | 1 |
| AR | $341.64 | 1 |
| AZ | $372.44 | 1 |
| CA | $395.69–$483.89 | 29 |
| CO | $393.13 | 1 |
| CT | $405.98 | 1 |
| DC | $430.72 | 1 |
| DE | $378.15 | 1 |
| FL | $383.03–$422.62 | 3 |
| GA | $362.78–$390.16 | 2 |
| GU | $402.95 | 1 |
| HI | $402.95 | 1 |
| IA | $351.28 | 1 |
| ID | $353.93 | 1 |
| IL | $374.99–$411.02 | 4 |
| IN | $355.71 | 1 |
| KS | $351.12 | 1 |
| KY | $356.40 | 1 |
| LA | $356.42–$372.19 | 2 |
| MA | $391.67–$427.66 | 2 |
| MD | $384.45–$430.72 | 3 |
| ME | $357.02–$372.52 | 2 |
| MI | $366.01–$388.76 | 2 |
| MN | $373.78 | 1 |
| MO | $351.79–$371.79 | 3 |
| MS | $346.71 | 1 |
| MT | $382.06 | 1 |
| NC | $360.17 | 1 |
| ND | $369.81 | 1 |
| NE | $352.61 | 1 |
| NH | $388.36 | 1 |
| NJ | $409.79–$427.21 | 2 |
| NM | $368.36 | 1 |
| NV | $378.86 | 1 |
| NY | $365.17–$449.95 | 5 |
| OH | $363.50 | 1 |
| OK | $354.40 | 1 |
| OR | $375.09–$403.09 | 2 |
| PA | $363.27–$397.57 | 2 |
| PR | $384.17 | 1 |
| RI | $389.76 | 1 |
| SC | $362.60 | 1 |
| SD | $368.36 | 1 |
| TN | $352.88 | 1 |
| TX | $361.22–$392.55 | 8 |
| UT | $367.05 | 1 |
| VA | $372.35–$430.72 | 2 |
| VI | $384.17 | 1 |
| VT | $369.72 | 1 |
| WA | $390.49–$434.58 | 2 |
| WI | $358.71 | 1 |
| WV | $362.77 | 1 |
| WY | $376.72 | 1 |
Compare 69610 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office $346.15 | Facility $230.12 |
| Alaska* | Office $459.65 | Facility $318.43 |
| Arizona | Office $372.44 | Facility $243.94 |
| Arkansas | Office $341.64 | Facility $227.73 |
| Atlanta | Office $390.16 | Facility $255.43 |
| Austin | Office $392.55 | Facility $252.26 |
| Bakersfield | Office $397.49 | Facility $252.16 |
| Baltimore/Surr. Cntys | Office $405.10 | Facility $262.81 |
| Beaumont | Office $361.22 | Facility $240.55 |
| Brazoria | Office $376.77 | Facility $245.37 |
| Chicago | Office $411.02 | Facility $277.76 |
| Chico | Office $395.69 | Facility $250.36 |
| Colorado | Office $393.13 | Facility $252.04 |
| Connecticut | Office $405.98 | Facility $263.17 |
| Dallas | Office $379.61 | Facility $247.54 |
| Dc + Md/Va Suburbs | Office $430.72 | Facility $274.51 |
| Delaware | Office $378.15 | Facility $247.14 |
| Detroit | Office $388.76 | Facility $260.80 |
| East St. Louis | Office $385.84 | Facility $263.85 |
| El Centro | Office $395.79 | Facility $250.46 |
| Fort Lauderdale | Office $401.64 | Facility $267.32 |
| Fort Worth | Office $377.72 | Facility $246.98 |
| Fresno | Office $395.69 | Facility $250.36 |
| Galveston | Office $378.20 | Facility $246.53 |
| Hanford-Corcoran | Office $395.69 | Facility $250.36 |
| Hawaii, Guam | Office $402.95 | Facility $252.18 |
| Houston | Office $389.55 | Facility $257.87 |
| Idaho | Office $353.93 | Facility $231.94 |
| Indiana | Office $355.71 | Facility $232.79 |
| Iowa | Office $351.28 | Facility $229.95 |
| Kansas | Office $351.12 | Facility $231.25 |
| Kentucky | Office $356.40 | Facility $238.51 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $420.60 | Facility $263.74 |
| Madera | Office $395.69 | Facility $250.36 |
| Manhattan | Office $438.52 | Facility $284.43 |
| Merced | Office $395.69 | Facility $250.36 |
| Metropolitan Boston | Office $427.66 | Facility $269.33 |
| Metropolitan Kansas City | Office $368.47 | Facility $243.96 |
| Metropolitan Philadelphia | Office $397.57 | Facility $259.53 |
| Metropolitan St. Louis | Office $371.79 | Facility $245.55 |
| Miami | Office $422.62 | Facility $284.58 |
| Minnesota | Office $373.78 | Facility $237.34 |
| Mississippi | Office $346.71 | Facility $232.54 |
| Modesto | Office $395.69 | Facility $250.36 |
| Montana** | Office $382.06 | Facility $249.46 |
| Napa | Office $449.71 | Facility $274.94 |
| Nebraska | Office $352.61 | Facility $230.22 |
| Nevada** | Office $378.86 | Facility $246.13 |
| New Hampshire | Office $388.36 | Facility $250.33 |
| New Mexico | Office $368.36 | Facility $246.76 |
| New Orleans | Office $372.19 | Facility $247.41 |
| North Carolina | Office $360.17 | Facility $236.46 |
| North Dakota** | Office $369.81 | Facility $237.20 |
| Northern Nj | Office $427.21 | Facility $273.39 |
| Nyc Suburbs/Long Island | Office $449.95 | Facility $292.29 |
| Ohio | Office $363.50 | Facility $242.43 |
| Oklahoma | Office $354.40 | Facility $235.99 |
| Oxnard-Thousand Oaks-Ventura | Office $417.65 | Facility $260.91 |
| Portland | Office $403.09 | Facility $255.77 |
| Poughkpsie/N Nyc Suburbs | Office $413.51 | Facility $268.31 |
| Puerto Rico | Office $384.17 | Facility $250.11 |
| Queens | Office $439.85 | Facility $283.11 |
| Redding | Office $395.69 | Facility $250.36 |
| Rest Of California | Office $395.69 | Facility $250.36 |
| Rest Of Florida | Office $383.03 | Facility $256.26 |
| Rest Of Georgia | Office $362.78 | Facility $244.50 |
| Rest Of Illinois | Office $374.99 | Facility $253.93 |
| Rest Of Louisiana | Office $356.42 | Facility $239.07 |
| Rest Of Maine | Office $357.02 | Facility $235.02 |
| Rest Of Maryland | Office $384.45 | Facility $250.26 |
| Rest Of Massachusetts | Office $391.67 | Facility $252.04 |
| Rest Of Michigan | Office $366.01 | Facility $244.94 |
| Rest Of Missouri | Office $351.79 | Facility $237.49 |
| Rest Of New Jersey | Office $409.79 | Facility $264.99 |
| Rest Of New York | Office $365.17 | Facility $239.20 |
| Rest Of Oregon | Office $375.09 | Facility $243.02 |
| Rest Of Pennsylvania | Office $363.27 | Facility $241.55 |
| Rest Of Texas | Office $369.09 | Facility $243.25 |
| Rest Of Washington | Office $390.49 | Facility $250.86 |
| Rhode Island | Office $389.76 | Facility $252.78 |
| Riverside-San Bernardino-Ontario | Office $402.40 | Facility $257.07 |
| Sacramento-Roseville-Folsom | Office $412.91 | Facility $258.69 |
| Salinas | Office $411.32 | Facility $257.63 |
| San Diego-Chula Vista-Carlsbad | Office $419.28 | Facility $260.69 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $473.20 | Facility $286.24 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $472.50 | Facility $285.53 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $483.89 | Facility $292.68 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $481.01 | Facility $289.80 |
| San Luis Obispo-Paso Robles | Office $404.97 | Facility $253.93 |
| Santa Cruz-Watsonville | Office $421.95 | Facility $260.84 |
| Santa Maria-Santa Barbara | Office $412.39 | Facility $257.78 |
| Santa Rosa-Petaluma | Office $426.06 | Facility $263.23 |
| Seattle (King Cnty) | Office $434.58 | Facility $271.88 |
| South Carolina | Office $362.60 | Facility $240.08 |
| South Dakota** | Office $368.36 | Facility $235.75 |
| Southern Maine | Office $372.52 | Facility $241.11 |
| Stockton | Office $395.69 | Facility $250.36 |
| Suburban Chicago | Office $404.94 | Facility $268.76 |
| Tennessee | Office $352.88 | Facility $232.35 |
| Utah | Office $367.05 | Facility $242.40 |
| Vallejo | Office $448.69 | Facility $273.92 |
| Vermont | Office $369.72 | Facility $238.44 |
| Virgin Islands | Office $384.17 | Facility $250.11 |
| Virginia | Office $372.35 | Facility $242.00 |
| Visalia | Office $395.69 | Facility $250.36 |
| West Virginia | Office $362.77 | Facility $247.54 |
| Wisconsin | Office $358.71 | Facility $231.68 |
| Wyoming** | Office $376.72 | Facility $244.12 |
| Yuba City | Office $395.69 | Facility $250.36 |
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69610 billing questions
When is 69610 preferable to 69620?
Use 69610 for a limited tympanic membrane repair, such as perforation-margin preparation with or without a patch. 69620 represents myringoplasty and should be selected when the documented procedure meets that service’s scope.
Is patch placement separately reported?
No. Patch use is included in 69610, and site preparation may also be part of the repair.
How is bilateral repair reported?
Report modifier 50 for bilateral repair; CMS pays the bilateral procedure at 150%.
What documentation supports 69610 instead of tympanoplasty?
Document the tympanic membrane perforation and the limited repair performed, including site preparation and patch use when applicable. A more extensive procedure involving middle-ear reconstruction may point to a tympanoplasty code instead.
Are postoperative visits separately payable during the global period?
Related postoperative visits for 10 days are included in the procedure’s global period.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard 50% multiple-procedure reduction.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
7,62069602,,Rev mstdc rslt mod rad mstdc,A,,13.42,13.55,NA,13.55,,1.96,28.93,28.93,0,090,0.07,0.79,0.14,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,62169603,,Revj mstdc rsltg rad mstdc,A,,13.85,19.32,NA,19.32,,2.02,35.19,35.19,0,090,0.07,0.79,0.14,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,62269604,,Revj mstdc rsltg tympanplsty,A,,13.85,13.66,NA,13.66,,2.02,29.53,29.53,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,62369610,,Tympanic membrane repair,A,,4.36,6.46,,2.49,,0.62,11.44,7.47,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,62469620,,Myringoplasty,A,,5.88,15.44,,6.78,,0.87,22.19,13.53,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,62569631,,Repair eardrum structures,A,,9.80,12.69,NA,12.69,,1.44,23.93,23.93,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,62669632,,Rebuild eardrum structures,A,,12.64,14.47,NA,14.47,,1.91,29.02,29.02,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00