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Billing code 69632: TympanoplastyMedicare rate & RVUs

Reports tympanic membrane repair with ossicular chain reconstruction when the surgeon restores middle-ear sound transmission without performing a mastoidectomy.

CMS RVU26DEffective Oct 1, 2026109 payment localities282 Medicare services in 2024

Medicare pays $969.29 for 69632 nationally in a facility.

Medicare rate · 69632

Tympanoplasty

Swap in your local Medicare rate.

Work RVUs
12.64
Total RVUs
29.02
Global days
090

National rate · 2026

$969.29

Facility setting, before claim adjustments.

See every locality for 69632 → · Billed by an NP, PA or therapist? →

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 10 sections
  1. Medicare rate
  2. What 69632 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 69632 covers

An otolaryngologist performs this operation to repair the tympanic membrane and reconstruct damaged or discontinuous middle-ear ossicles, often in a patient with a chronic perforation and conductive hearing loss. The surgeon may use a graft to close the eardrum and reconstruct the sound-conducting chain. The service is performed in an operating room; the defining features are ossicular reconstruction and no mastoidectomy.

Select this code from the operative report, which should document the eardrum repair, ossicular work, laterality, and whether a mastoidectomy was performed. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral surgery, modifier 50 is paid at 150%. CMS 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.

Where 69632 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

69632 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$881.19
Alaska*Unavailable$1,183.16
ArizonaUnavailable$945.12
ArkansasUnavailable$870.21
AtlantaUnavailable$991.12
AustinUnavailable$990.90
BakersfieldUnavailable$998.77
Baltimore/Surr. CntysUnavailable$1,026.45
BeaumontUnavailable$921.27
BrazoriaUnavailable$954.29

69632 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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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
69632 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 69632 rate is calculated

Each of 69632’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 · 69632

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 12.64Practice expense 14.47Malpractice 1.91

29.0200 adjusted RVUs×$33.4009 conversion factor=$969.29

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 69632

69632 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 69632

Tympanoplasty

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.07/0.79/0.14Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 69632

Tympanoplasty

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned 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

69632 without 50 · national facility

$969.29

Tympanoplasty

69632-50 · Bilateral: 150%

$1,453.94

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

69632 compared with similar codes

Compare codes

69632 vs 69631 vs 69633 vs 69635 vs 69620: national Medicare rates

Swap in your local Medicare rate.

  • 69632
    Tympanoplasty · 12.64 wRVU
    —
  • 69631
    Tympanoplasty · 9.8 wRVU
    —
  • 69633
    Tympanoplasty · 12 wRVU
    —
  • 69635
    Tympanoplasty · 13.17 wRVU
    —
  • 69620
    Myringoplasty · 5.88 wRVU
    $741.17

How to choose

69631Tympanoplasty
Both describe tympanoplasty without mastoidectomy; choose 69632 when the surgeon also reconstructs the ossicular chain.
69633Tympanoplasty
This code includes ossicular reconstruction but no mastoidectomy. 69633 includes mastoidectomy and no ossicular reconstruction.
69635Tympanoplasty
Both include ossicular reconstruction, but 69635 includes mastoidectomy; 69632 does not.
69620Myringoplasty
Myringoplasty is limited to tympanic membrane repair. Use 69632 for tympanoplasty that also reconstructs the ossicular chain.

Codes related to 69632

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

Codes related to 69632
CodeHow it relatesNational office range
Same family
69631TympanoplastyTympanoplasty without mastoidectomy, but without ossicular chain reconstruction.No office rate
69633TympanoplastyTympanoplasty with mastoidectomy and without ossicular chain reconstruction.No office rate
69635TympanoplastyTympanoplasty with mastoidectomy and ossicular chain reconstruction.No office rate
Used instead
69620MyringoplastyMyringoplasty is an alternative when repair is limited to the tympanic membrane.$654.36–$977.23
69610Eardrum repairTympanic membrane repair is a less extensive alternative when ossicular reconstruction is not performed.$341.64–$483.89

69632 billing questions

How does this differ from 69631?

69632 includes reconstruction of the ossicular chain along with tympanoplasty. Use 69631 when the tympanoplasty is performed without ossicular chain reconstruction.

When is 69633 a better choice?

69633 describes tympanoplasty with mastoidectomy and without ossicular chain reconstruction. This code describes ossicular reconstruction without mastoidectomy.

Can the eardrum repair and ossicular reconstruction be reported separately?

The code represents the tympanoplasty with ossicular chain reconstruction as a combined operation. Do not report a second tympanoplasty code for the same repair.

How is bilateral surgery reported?

For surgery on both ears, report modifier 50; CMS pays the bilateral procedure at 150%.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

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 69632PPRRVU2026_Oct_nonQPP.csv, line 7,626 (RVU26D)

Open CMS sourceHow we calculate rates

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