No office rate
Both describe revision mastoid surgery, but 69601 represents a different resulting mastoid procedure. Choose the code that matches the operative result; 69604 is the tympanoplasty-resulting service.
On this page
CMS RVU26D · Effective 2026-10-01
69604 in Salinas
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1041.91
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.
Otology surgery
About 69604: Revision mastoidectomy with tympanoplasty
Revision mastoid surgery that includes tympanoplasty is reported when an otologic surgeon revises a previously operated mastoid and repairs the eardrum.
An otolaryngologist, often an otologist, uses this code for revision surgery on a previously operated mastoid that includes tympanoplasty. The operation addresses the mastoid and reconstructs the tympanic membrane; it is performed in an operating room, commonly for persistent or recurrent disease in an ear with prior mastoid surgery. The operative report should make clear that this is revision work and describe both the mastoid portion and the eardrum repair.
Report the code when the revision results in tympanoplasty, rather than selecting a sibling code based on a different resulting mastoid procedure. The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. 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 69604
- 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 RVU13.85 · 47%
- Practice expense (office) RVU13.66 · 46%
- Malpractice RVU2.02 · 7%
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.
69604 compared with similar codes
Office rates for Salinas, from the same CMS release.
No office rate
This is a sibling revision mastoidectomy code for a different resulting procedure. Use 69604 when the revision includes tympanoplasty as its result.
No office rate
69641 describes tympanoplasty performed with mastoidectomy; 69604 is for revision of a previously operated mastoid resulting in tympanoplasty.
No office rate
69631 is tympanoplasty without mastoidectomy. Choose 69604 when the operation includes revision mastoid work as well as tympanoplasty.
The same code, a different location
How does Salinas compare?
69604 across payment areas
Same release and payment basis · bars start at $0
Salinas · 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.
Unavailable
No comparable rate is available in this setting.
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
Madera
California · 69604
Office
Unavailable
Facility
$1006.69
No comparable office rate is available.
Merced
California · 69604
Office
Unavailable
Facility
$1006.69
No comparable office rate is available.
Modesto
California · 69604
Office
Unavailable
Facility
$1006.69
No comparable office rate is available.
Napa
California · 69604
Office
Unavailable
Facility
$1127.37
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 69604
Office
Unavailable
Facility
$1056.88
No comparable office rate is available.
Redding
California · 69604
Office
Unavailable
Facility
$1006.69
No comparable office rate is available.
Rest Of California
California · 69604
Office
Unavailable
Facility
$1006.69
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 69604
Office
Unavailable
Facility
$1028.54
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 69604
Office
Unavailable
Facility
$1046.05
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 69604
Office
Unavailable
Facility
$1058.73
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 69604
Office
Unavailable
Facility
$1180.84
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 69604
Office
Unavailable
Facility
$1178.55
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 69604
Office
Unavailable
Facility
$1207.57
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 69604
Office
Unavailable
Facility
$1198.20
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 69604
Office
Unavailable
Facility
$1026.31
No comparable office rate is available.
Santa Cruz-Watsonville
California · 69604
Office
Unavailable
Facility
$1062.83
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 69604
Office
Unavailable
Facility
$1043.71
No comparable office rate is available.
Santa Rosa-Petaluma
California · 69604
Office
Unavailable
Facility
$1072.93
No comparable office rate is available.
Stockton
California · 69604
Office
Unavailable
Facility
$1006.69
No comparable office rate is available.
Vallejo
California · 69604
Office
Unavailable
Facility
$1124.06
No comparable office rate is available.
Visalia
California · 69604
Office
Unavailable
Facility
$1006.69
No comparable office rate is available.
Yuba City
California · 69604
Office
Unavailable
Facility
$1006.69
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 69604
Office
Unavailable
Facility
$1100.15
No comparable office rate is available.
Miami
Florida · 69604
Office
Unavailable
Facility
$1108.20
No comparable office rate is available.
Chicago
Illinois · 69604
Office
Unavailable
Facility
$1079.22
No comparable office rate is available.
Manhattan
New York · 69604
Office
Unavailable
Facility
$1129.39
No comparable office rate is available.
Alaska*
Alaska · 69604
Office
Unavailable
Facility
$1216.99
No comparable office rate is available.
Alabama
Alabama · 69604
Office
Unavailable
Facility
$900.01
No comparable office rate is available.
Arkansas
Arkansas · 69604
Office
Unavailable
Facility
$889.27
No comparable office rate is available.
Arizona
Arizona · 69604
Office
Unavailable
Facility
$962.47
No comparable office rate is available.
Colorado
Colorado · 69604
Office
Unavailable
Facility
$1006.30
No comparable office rate is available.
Connecticut
Connecticut · 69604
Office
Unavailable
Facility
$1044.88
No comparable office rate is available.
Delaware
Delaware · 69604
Office
Unavailable
Facility
$976.35
No comparable office rate is available.
Fort Lauderdale
Florida · 69604
Office
Unavailable
Facility
$1046.78
No comparable office rate is available.
Rest Of Florida
Florida · 69604
Office
Unavailable
Facility
$1000.19
No comparable office rate is available.
Atlanta
Georgia · 69604
Office
Unavailable
Facility
$1008.58
No comparable office rate is available.
Rest Of Georgia
Georgia · 69604
Office
Unavailable
Facility
$950.01
No comparable office rate is available.
Hawaii, Guam
Hawaii · 69604
Office
Unavailable
Facility
$1020.43
No comparable office rate is available.
Iowa
Iowa · 69604
Office
Unavailable
Facility
$906.86
No comparable office rate is available.
Idaho
Idaho · 69604
Office
Unavailable
Facility
$914.27
No comparable office rate is available.
East St. Louis
Illinois · 69604
Office
Unavailable
Facility
$1018.24
No comparable office rate is available.
Rest Of Illinois
Illinois · 69604
Office
Unavailable
Facility
$984.62
No comparable office rate is available.
Suburban Chicago
Illinois · 69604
Office
Unavailable
Facility
$1053.97
No comparable office rate is available.
Indiana
Indiana · 69604
Office
Unavailable
Facility
$918.34
No comparable office rate is available.
Kansas
Kansas · 69604
Office
Unavailable
Facility
$909.06
No comparable office rate is available.
Kentucky
Kentucky · 69604
Office
Unavailable
Facility
$929.95
No comparable office rate is available.
New Orleans
Louisiana · 69604
Office
Unavailable
Facility
$968.59
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 69604
Office
Unavailable
Facility
$931.03
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 69604
Office
Unavailable
Facility
$1086.39
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 69604
Office
Unavailable
Facility
$1004.22
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 69604
Office
Unavailable
Facility
$1043.03
No comparable office rate is available.
Rest Of Maryland
Maryland · 69604
Office
Unavailable
Facility
$990.90
No comparable office rate is available.
Rest Of Maine
Maine · 69604
Office
Unavailable
Facility
$924.32
No comparable office rate is available.
Southern Maine
Maine · 69604
Office
Unavailable
Facility
$957.33
No comparable office rate is available.
Detroit
Michigan · 69604
Office
Unavailable
Facility
$1016.64
No comparable office rate is available.
Rest Of Michigan
Michigan · 69604
Office
Unavailable
Facility
$955.34
No comparable office rate is available.
Minnesota
Minnesota · 69604
Office
Unavailable
Facility
$952.06
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 69604
Office
Unavailable
Facility
$956.95
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 69604
Office
Unavailable
Facility
$964.56
No comparable office rate is available.
Rest Of Missouri
Missouri · 69604
Office
Unavailable
Facility
$921.61
No comparable office rate is available.
Mississippi
Mississippi · 69604
Office
Unavailable
Facility
$905.30
No comparable office rate is available.
Montana**
Montana · 69604
Office
Unavailable
Facility
$986.19
No comparable office rate is available.
North Carolina
North Carolina · 69604
Office
Unavailable
Facility
$931.40
No comparable office rate is available.
North Dakota**
North Dakota · 69604
Office
Unavailable
Facility
$946.25
No comparable office rate is available.
Nebraska
Nebraska · 69604
Office
Unavailable
Facility
$909.23
No comparable office rate is available.
New Hampshire
New Hampshire · 69604
Office
Unavailable
Facility
$996.60
No comparable office rate is available.
Northern Nj
New Jersey · 69604
Office
Unavailable
Facility
$1093.06
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 69604
Office
Unavailable
Facility
$1053.35
No comparable office rate is available.
New Mexico
New Mexico · 69604
Office
Unavailable
Facility
$962.02
No comparable office rate is available.
Nevada**
Nevada · 69604
Office
Unavailable
Facility
$975.52
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 69604
Office
Unavailable
Facility
$1159.99
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 69604
Office
Unavailable
Facility
$1064.66
No comparable office rate is available.
Queens
New York · 69604
Office
Unavailable
Facility
$1128.80
No comparable office rate is available.
Rest Of New York
New York · 69604
Office
Unavailable
Facility
$943.48
No comparable office rate is available.
Ohio
Ohio · 69604
Office
Unavailable
Facility
$947.17
No comparable office rate is available.
Oklahoma
Oklahoma · 69604
Office
Unavailable
Facility
$922.46
No comparable office rate is available.
Portland
Oregon · 69604
Office
Unavailable
Facility
$1027.10
No comparable office rate is available.
Rest Of Oregon
Oregon · 69604
Office
Unavailable
Facility
$964.47
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 69604
Office
Unavailable
Facility
$1026.38
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 69604
Office
Unavailable
Facility
$945.20
No comparable office rate is available.
Puerto Rico
Puerto Rico · 69604
Office
Unavailable
Facility
$990.34
No comparable office rate is available.
Rhode Island
Rhode Island · 69604
Office
Unavailable
Facility
$1002.89
No comparable office rate is available.
South Carolina
South Carolina · 69604
Office
Unavailable
Facility
$941.53
No comparable office rate is available.
South Dakota**
South Dakota · 69604
Office
Unavailable
Facility
$941.53
No comparable office rate is available.
Tennessee
Tennessee · 69604
Office
Unavailable
Facility
$913.57
No comparable office rate is available.
Austin
Texas · 69604
Office
Unavailable
Facility
$1006.03
No comparable office rate is available.
Beaumont
Texas · 69604
Office
Unavailable
Facility
$940.48
No comparable office rate is available.
Brazoria
Texas · 69604
Office
Unavailable
Facility
$971.08
No comparable office rate is available.
Dallas
Texas · 69604
Office
Unavailable
Facility
$979.09
No comparable office rate is available.
Fort Worth
Texas · 69604
Office
Unavailable
Facility
$975.40
No comparable office rate is available.
Galveston
Texas · 69604
Office
Unavailable
Facility
$975.23
No comparable office rate is available.
Houston
Texas · 69604
Office
Unavailable
Facility
$1012.20
No comparable office rate is available.
Rest Of Texas
Texas · 69604
Office
Unavailable
Facility
$956.51
No comparable office rate is available.
Utah
Utah · 69604
Office
Unavailable
Facility
$952.07
No comparable office rate is available.
Virginia
Virginia · 69604
Office
Unavailable
Facility
$958.74
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 69604
Office
Unavailable
Facility
$990.34
No comparable office rate is available.
Vermont
Vermont · 69604
Office
Unavailable
Facility
$948.44
No comparable office rate is available.
Rest Of Washington
Washington · 69604
Office
Unavailable
Facility
$1000.40
No comparable office rate is available.
Seattle (King Cnty)
Washington · 69604
Office
Unavailable
Facility
$1100.68
No comparable office rate is available.
Wisconsin
Wisconsin · 69604
Office
Unavailable
Facility
$920.48
No comparable office rate is available.
West Virginia
West Virginia · 69604
Office
Unavailable
Facility
$955.64
No comparable office rate is available.
Wyoming**
Wyoming · 69604
Office
Unavailable
Facility
$968.79
No comparable office rate is available.
See how rates vary across the country
69604 · 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?
Salinas 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 69604 in Salinas. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1146.10
$1041.91 × 110% = $1146.10
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 69604 in Salinas.
PPRRVU2026_Oct_nonQPP.csv
7,622
- Code
- 69604
- Physician work
- 13.85
- Practice expense
- 13.66
- Malpractice
- 2.02
GPCI2026.csv
22
- Locality
- Salinas
- Physician work
- 1.031
- Practice expense
- 1.159
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.85 | × 1.031 | 14.2793 |
| Practice expense | 13.66 | × 1.159 | 15.8319 |
| Malpractice | 2.02 | × 0.536 | 1.0827 |
| Total RVUs | 31.1940 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Salinas$1041.91
Open 69604 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.85 | 1.031 |
| Practice expense | 13.66 | 1.159 |
| Malpractice | 2.02 | 0.536 |
(13.85 × 1.031 + 13.66 × 1.159 + 2.02 × 0.536) × $33.4009 = $1041.91
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
69604 · 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 | $1041.91 | RVU26D |
| 2026-07-01 | Not available in this setting | $1041.91 | RVU26C |
| 2026-04-01 | Not available in this setting | $1041.91 | RVU26B |
| 2026-01-01 | Not available in this setting | $1041.91 | RVU26A |
| 2025-10-01 | Not available in this setting | $1155.22 | RVU25D |
| 2025-07-01 | Not available in this setting | $1155.22 | RVU25C |
| 2025-04-01 | Not available in this setting | $1155.22 | RVU25B |
| 2025-01-01 | Not available in this setting | $1155.22 | RVU25A |
69604 billing questions
How does this differ from codes 69601 through 69603?
Those sibling codes represent revision mastoid procedures resulting in other specified mastoidectomy types. Use 69604 when the revision results in tympanoplasty.
Can tympanoplasty be reported separately from the mastoid revision?
The tympanoplasty is part of the service represented by 69604. Do not separately report the same eardrum repair work.
What documentation supports reporting 69604?
The operative report should describe the prior mastoid surgery, the revision performed, and the tympanoplasty completed as part of the operation.
How is bilateral surgery reported?
Use modifier 50 for bilateral reporting; CMS pays the bilateral procedure at 150%.
Is an assistant surgeon payable for this procedure?
CMS applies a statutory restriction, so an assistant at surgery is not paid for 69604. Co-surgeons and team surgery are also 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.
7,61969601,,Revj mstdc rsltg compl mstdc,A,,13.11,12.08,NA,12.08,,1.91,27.10,27.10,0,090,0.07,0.79,0.14,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,62069602,,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
1901112,CA,61,REDDING,1.017,1.096,0.536
2001112,CA,62,RIVERSIDE-SAN BERNARDINO-ONTARIO,1.018,1.096,0.853
2101112,CA,63,SACRAMENTO-ROSEVILLE-FOLSOM,1.036,1.163,0.536
2201112,CA,64,SALINAS,1.031,1.159,0.536
2301182,CA,72,SAN DIEGO-CHULA VISTA-CARLSBAD,1.030,1.196,0.542
2401112,CA,05,SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY),1.095,1.410,0.425
2501112,CA,52,SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY),1.095,1.410,0.459