No office rate
Both describe tympanoplasty with mastoidectomy without ossicular chain reconstruction. 69643 is distinguished by an intact or reconstructed canal wall.
On this page
CMS RVU26D · Effective 2026-10-01
69643 in Chico
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1109.37
Base rate per service
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.
Otolaryngology surgery
About 69643: Canal-wall tympanoplasty with mastoidectomy
Report this operation for tympanic membrane repair with mastoid surgery when the canal wall is preserved or reconstructed and the ossicular chain is not rebuilt.
An otolaryngologist typically performs this operation in an operating room for chronic middle-ear or mastoid disease, including cases requiring removal of diseased tissue and repair of a tympanic membrane defect. The procedure combines tympanoplasty with mastoid work; its distinguishing features are an intact or reconstructed ear canal wall and no ossicular chain reconstruction. Canalplasty and related middle-ear work may be part of the operation.
Select the code from the operative report: it should support the tympanoplasty and mastoidectomy, the canal-wall approach, and the absence of ossicular chain reconstruction. 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 the same session, the highest-valued procedure is paid in full and others at 50%. For bilateral reporting with modifier 50, payment is 150%. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.
CMS billing rules for 69643
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care 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 RVU15.20 · 47%
- Practice expense (office) RVU15.09 · 46%
- Malpractice RVU2.27 · 7%
762
Medicare services in 2024 · #3198 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.
69643 compared with similar codes
Office rates for Chico, from the same CMS release.
No office rate
This is the canal-wall counterpart when ossicular chain reconstruction is performed; 69643 is for the operation without that reconstruction.
No office rate
69631 describes tympanoplasty without mastoidectomy. Choose 69643 when mastoidectomy is part of the operation and the canal wall is intact or reconstructed.
The same code, a different location
How does Chico compare?
69643 across payment areas
Same release and payment basis · bars start at $0
Chico · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Merced
California · 69643
Office
Unavailable
Facility
$1109.37
No comparable office rate is available.
Modesto
California · 69643
Office
Unavailable
Facility
$1109.37
No comparable office rate is available.
Napa
California · 69643
Office
Unavailable
Facility
$1242.49
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 69643
Office
Unavailable
Facility
$1164.90
No comparable office rate is available.
Redding
California · 69643
Office
Unavailable
Facility
$1109.37
No comparable office rate is available.
Rest Of California
California · 69643
Office
Unavailable
Facility
$1109.37
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 69643
Office
Unavailable
Facility
$1133.91
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 69643
Office
Unavailable
Facility
$1152.78
No comparable office rate is available.
Salinas
California · 69643
Office
Unavailable
Facility
$1148.23
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 69643
Office
Unavailable
Facility
$1166.83
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 69643
Office
Unavailable
Facility
$1301.39
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 69643
Office
Unavailable
Facility
$1298.82
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 69643
Office
Unavailable
Facility
$1330.98
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 69643
Office
Unavailable
Facility
$1320.44
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 69643
Office
Unavailable
Facility
$1131.04
No comparable office rate is available.
Santa Cruz-Watsonville
California · 69643
Office
Unavailable
Facility
$1171.38
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 69643
Office
Unavailable
Facility
$1150.24
No comparable office rate is available.
Santa Rosa-Petaluma
California · 69643
Office
Unavailable
Facility
$1182.50
No comparable office rate is available.
Stockton
California · 69643
Office
Unavailable
Facility
$1109.37
No comparable office rate is available.
Vallejo
California · 69643
Office
Unavailable
Facility
$1238.78
No comparable office rate is available.
Visalia
California · 69643
Office
Unavailable
Facility
$1109.37
No comparable office rate is available.
Yuba City
California · 69643
Office
Unavailable
Facility
$1109.37
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 69643
Office
Unavailable
Facility
$1213.23
No comparable office rate is available.
Miami
Florida · 69643
Office
Unavailable
Facility
$1224.13
No comparable office rate is available.
Chicago
Illinois · 69643
Office
Unavailable
Facility
$1191.79
No comparable office rate is available.
Manhattan
New York · 69643
Office
Unavailable
Facility
$1246.11
No comparable office rate is available.
Alaska*
Alaska · 69643
Office
Unavailable
Facility
$1340.10
No comparable office rate is available.
Alabama
Alabama · 69643
Office
Unavailable
Facility
$991.62
No comparable office rate is available.
Arkansas
Arkansas · 69643
Office
Unavailable
Facility
$979.69
No comparable office rate is available.
Arizona
Arizona · 69643
Office
Unavailable
Facility
$1060.99
No comparable office rate is available.
Colorado
Colorado · 69643
Office
Unavailable
Facility
$1109.28
No comparable office rate is available.
Connecticut
Connecticut · 69643
Office
Unavailable
Facility
$1152.42
No comparable office rate is available.
Delaware
Delaware · 69643
Office
Unavailable
Facility
$1076.37
No comparable office rate is available.
Fort Lauderdale
Florida · 69643
Office
Unavailable
Facility
$1155.35
No comparable office rate is available.
Rest Of Florida
Florida · 69643
Office
Unavailable
Facility
$1103.49
No comparable office rate is available.
Atlanta
Georgia · 69643
Office
Unavailable
Facility
$1112.36
No comparable office rate is available.
Rest Of Georgia
Georgia · 69643
Office
Unavailable
Facility
$1047.66
No comparable office rate is available.
Hawaii, Guam
Hawaii · 69643
Office
Unavailable
Facility
$1124.66
No comparable office rate is available.
Iowa
Iowa · 69643
Office
Unavailable
Facility
$998.97
No comparable office rate is available.
Idaho
Idaho · 69643
Office
Unavailable
Facility
$1007.25
No comparable office rate is available.
East St. Louis
Illinois · 69643
Office
Unavailable
Facility
$1124.09
No comparable office rate is available.
Rest Of Illinois
Illinois · 69643
Office
Unavailable
Facility
$1086.37
No comparable office rate is available.
Suburban Chicago
Illinois · 69643
Office
Unavailable
Facility
$1163.23
No comparable office rate is available.
Indiana
Indiana · 69643
Office
Unavailable
Facility
$1011.77
No comparable office rate is available.
Kansas
Kansas · 69643
Office
Unavailable
Facility
$1001.54
No comparable office rate is available.
Kentucky
Kentucky · 69643
Office
Unavailable
Facility
$1025.14
No comparable office rate is available.
New Orleans
Louisiana · 69643
Office
Unavailable
Facility
$1068.11
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 69643
Office
Unavailable
Facility
$1026.39
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 69643
Office
Unavailable
Facility
$1197.79
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 69643
Office
Unavailable
Facility
$1106.98
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 69643
Office
Unavailable
Facility
$1150.42
No comparable office rate is available.
Rest Of Maryland
Maryland · 69643
Office
Unavailable
Facility
$1092.44
No comparable office rate is available.
Rest Of Maine
Maine · 69643
Office
Unavailable
Facility
$1018.55
No comparable office rate is available.
Southern Maine
Maine · 69643
Office
Unavailable
Facility
$1055.02
No comparable office rate is available.
Detroit
Michigan · 69643
Office
Unavailable
Facility
$1121.91
No comparable office rate is available.
Rest Of Michigan
Michigan · 69643
Office
Unavailable
Facility
$1053.46
No comparable office rate is available.
Minnesota
Minnesota · 69643
Office
Unavailable
Facility
$1048.77
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 69643
Office
Unavailable
Facility
$1055.04
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 69643
Office
Unavailable
Facility
$1063.49
No comparable office rate is available.
Rest Of Missouri
Missouri · 69643
Office
Unavailable
Facility
$1016.01
No comparable office rate is available.
Mississippi
Mississippi · 69643
Office
Unavailable
Facility
$997.69
No comparable office rate is available.
Montana**
Montana · 69643
Office
Unavailable
Facility
$1087.38
No comparable office rate is available.
North Carolina
North Carolina · 69643
Office
Unavailable
Facility
$1026.39
No comparable office rate is available.
North Dakota**
North Dakota · 69643
Office
Unavailable
Facility
$1042.50
No comparable office rate is available.
Nebraska
Nebraska · 69643
Office
Unavailable
Facility
$1001.56
No comparable office rate is available.
New Hampshire
New Hampshire · 69643
Office
Unavailable
Facility
$1098.72
No comparable office rate is available.
Northern Nj
New Jersey · 69643
Office
Unavailable
Facility
$1205.32
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 69643
Office
Unavailable
Facility
$1161.57
No comparable office rate is available.
New Mexico
New Mexico · 69643
Office
Unavailable
Facility
$1060.94
No comparable office rate is available.
Nevada**
Nevada · 69643
Office
Unavailable
Facility
$1075.38
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 69643
Office
Unavailable
Facility
$1280.26
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 69643
Office
Unavailable
Facility
$1174.18
No comparable office rate is available.
Queens
New York · 69643
Office
Unavailable
Facility
$1245.27
No comparable office rate is available.
Rest Of New York
New York · 69643
Office
Unavailable
Facility
$1039.81
No comparable office rate is available.
Ohio
Ohio · 69643
Office
Unavailable
Facility
$1044.29
No comparable office rate is available.
Oklahoma
Oklahoma · 69643
Office
Unavailable
Facility
$1016.70
No comparable office rate is available.
Portland
Oregon · 69643
Office
Unavailable
Facility
$1132.19
No comparable office rate is available.
Rest Of Oregon
Oregon · 69643
Office
Unavailable
Facility
$1063.00
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 69643
Office
Unavailable
Facility
$1131.97
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 69643
Office
Unavailable
Facility
$1042.03
No comparable office rate is available.
Puerto Rico
Puerto Rico · 69643
Office
Unavailable
Facility
$1091.94
No comparable office rate is available.
Rhode Island
Rhode Island · 69643
Office
Unavailable
Facility
$1105.62
No comparable office rate is available.
South Carolina
South Carolina · 69643
Office
Unavailable
Facility
$1037.85
No comparable office rate is available.
South Dakota**
South Dakota · 69643
Office
Unavailable
Facility
$1037.19
No comparable office rate is available.
Tennessee
Tennessee · 69643
Office
Unavailable
Facility
$1006.56
No comparable office rate is available.
Austin
Texas · 69643
Office
Unavailable
Facility
$1109.14
No comparable office rate is available.
Beaumont
Texas · 69643
Office
Unavailable
Facility
$1036.79
No comparable office rate is available.
Brazoria
Texas · 69643
Office
Unavailable
Facility
$1070.38
No comparable office rate is available.
Dallas
Texas · 69643
Office
Unavailable
Facility
$1079.32
No comparable office rate is available.
Fort Worth
Texas · 69643
Office
Unavailable
Facility
$1075.27
No comparable office rate is available.
Galveston
Texas · 69643
Office
Unavailable
Facility
$1075.03
No comparable office rate is available.
Houston
Texas · 69643
Office
Unavailable
Facility
$1116.58
No comparable office rate is available.
Rest Of Texas
Texas · 69643
Office
Unavailable
Facility
$1054.47
No comparable office rate is available.
Utah
Utah · 69643
Office
Unavailable
Facility
$1049.56
No comparable office rate is available.
Virginia
Virginia · 69643
Office
Unavailable
Facility
$1056.67
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 69643
Office
Unavailable
Facility
$1091.94
No comparable office rate is available.
Vermont
Vermont · 69643
Office
Unavailable
Facility
$1045.04
No comparable office rate is available.
Rest Of Washington
Washington · 69643
Office
Unavailable
Facility
$1102.73
No comparable office rate is available.
Seattle (King Cnty)
Washington · 69643
Office
Unavailable
Facility
$1213.46
No comparable office rate is available.
Wisconsin
Wisconsin · 69643
Office
Unavailable
Facility
$1013.90
No comparable office rate is available.
West Virginia
West Virginia · 69643
Office
Unavailable
Facility
$1054.19
No comparable office rate is available.
Wyoming**
Wyoming · 69643
Office
Unavailable
Facility
$1067.82
No comparable office rate is available.
See how rates vary across the country
69643 · 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.
View all state and territory rates as a table
| State / territory | 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 |
Where does this rate apply?
Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 69643 in Chico. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1220.31
$1109.37 × 110% = $1220.31
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 69643 in Chico.
PPRRVU2026_Oct_nonQPP.csv
7,633
- Code
- 69643
- Physician work
- 15.20
- Practice expense
- 15.09
- Malpractice
- 2.27
GPCI2026.csv
9
- Locality
- Chico
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 15.20 | × 1.017 | 15.4584 |
| Practice expense | 15.09 | × 1.096 | 16.5386 |
| Malpractice | 2.27 | × 0.536 | 1.2167 |
| Total RVUs | 33.2138 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Chico$1109.37
Open 69643 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 15.2 | 1.017 |
| Practice expense | 15.09 | 1.096 |
| Malpractice | 2.27 | 0.536 |
(15.2 × 1.017 + 15.09 × 1.096 + 2.27 × 0.536) × $33.4009 = $1109.37
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
69643 · 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
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1109.37 | RVU26D |
| 2026-07-01 | Not available in this setting | $1109.37 | RVU26C |
| 2026-04-01 | Not available in this setting | $1109.37 | RVU26B |
| 2026-01-01 | Not available in this setting | $1109.37 | RVU26A |
| 2025-10-01 | Not available in this setting | $1216.06 | RVU25D |
| 2025-07-01 | Not available in this setting | $1216.06 | RVU25C |
| 2025-04-01 | Not available in this setting | $1216.06 | RVU25B |
| 2025-01-01 | Not available in this setting | $1216.06 | RVU25A |
69643 billing questions
How does 69643 differ from 69641?
Both involve tympanoplasty with mastoidectomy without ossicular chain reconstruction. Choose 69643 when the canal wall is intact or reconstructed; the operative report should establish that feature.
When is 69644 reported instead?
Use 69644 when the canal wall is intact or reconstructed and the operation also includes ossicular chain reconstruction. Code 69643 describes the corresponding canal-wall approach without that reconstruction.
Can canalplasty or middle-ear work be reported separately?
Canalplasty and related middle-ear work may be included in this tympanoplasty-mastoidectomy service. The operative report should identify any separate procedure as distinct rather than an integral part of the operation.
What documentation supports 69643?
Document the tympanoplasty and mastoidectomy, whether the canal wall was preserved or reconstructed, and whether the ossicular chain was reconstructed. These details distinguish 69643 from nearby codes.
How does Medicare handle bilateral reporting and other procedures in the same session?
With modifier 50, a bilateral procedure is paid at 150%. For multiple procedures in one session, the highest-valued procedure is paid in full and the others at 50%.
Is an assistant surgeon or co-surgeon payable?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
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.
7,63069637,,Rebuild eardrum structures,A,,14.94,21.34,NA,21.34,,2.18,38.46,38.46,0,090,0.07,0.79,0.14,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,63169641,,Revise middle ear & mastoid,A,,12.57,13.37,NA,13.37,,1.85,27.79,27.79,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,63269642,,Revise middle ear & mastoid,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,,Revise middle ear & mastoid,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,,Revise middle ear & mastoid,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,,Revise middle ear & mastoid,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,,Revise middle ear & mastoid,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
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536