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CMS RVU26D · Effective 2026-10-01

69610 in Wyoming**

Office / nonfacility

$376.72

Base rate per service

Facility setting

$244.12

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

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 rates for Wyoming**, from the same CMS release.

69620

Myringoplasty

Tympanic membrane perforation

$733.61

69610 is for a limited tympanic membrane repair, often involving site preparation or a patch. Choose 69620 when the procedure documented is myringoplasty.

69631

Tympanoplasty

No mastoidectomy or chain reconstruction

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.

69632

Tympanoplasty

Without mastoidectomy, with ossicular reconstruction

No office rate

69632 is tympanoplasty without mastoidectomy with ossicular chain reconstruction. 69610 is limited to the tympanic membrane repair.

The same code, a different location

How does Wyoming** compare?

69610 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $376.72

  2. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $420.60

    $43.88 higher than Wyoming**

  3. Dc + Md/Va Suburbs

    $430.72

    $54.00 higher than Wyoming**

  4. Miami

    $422.62

    $45.90 higher than Wyoming**

  5. Chicago

    $411.02

    $34.30 higher than Wyoming**

  6. Manhattan

    $438.52

    $61.80 higher than Wyoming**

  7. Alaska*

    $459.65

    $82.93 higher than Wyoming**

Other payment areas listed in Wyoming appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 69610 ranges from $341.64 in Arkansas to $483.89 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

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

  • Alabama

    Alabama · 69610

    Office

    $346.15

    Facility

    $230.12

    $30.57 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 69610

    Office

    $341.64

    Facility

    $227.73

    $35.08 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · 69610

    Office

    $372.44

    Facility

    $243.94

    $4.28 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 69610

    Office

    $397.49

    Facility

    $252.16

    $20.77 higher than Wyoming** for the office setting.

  • Chico

    California · 69610

    Office

    $395.69

    Facility

    $250.36

    $18.97 higher than Wyoming** for the office setting.

  • El Centro

    California · 69610

    Office

    $395.79

    Facility

    $250.46

    $19.07 higher than Wyoming** for the office setting.

  • Fresno

    California · 69610

    Office

    $395.69

    Facility

    $250.36

    $18.97 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 69610

    Office

    $395.69

    Facility

    $250.36

    $18.97 higher than Wyoming** for the office setting.

  • Madera

    California · 69610

    Office

    $395.69

    Facility

    $250.36

    $18.97 higher than Wyoming** for the office setting.

  • Merced

    California · 69610

    Office

    $395.69

    Facility

    $250.36

    $18.97 higher than Wyoming** for the office setting.

  • Modesto

    California · 69610

    Office

    $395.69

    Facility

    $250.36

    $18.97 higher than Wyoming** for the office setting.

  • Napa

    California · 69610

    Office

    $449.71

    Facility

    $274.94

    $72.99 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 69610

    Office

    $417.65

    Facility

    $260.91

    $40.93 higher than Wyoming** for the office setting.

  • Redding

    California · 69610

    Office

    $395.69

    Facility

    $250.36

    $18.97 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 69610

    Office

    $395.69

    Facility

    $250.36

    $18.97 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 69610

    Office

    $402.40

    Facility

    $257.07

    $25.68 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 69610

    Office

    $412.91

    Facility

    $258.69

    $36.19 higher than Wyoming** for the office setting.

  • Salinas

    California · 69610

    Office

    $411.32

    Facility

    $257.63

    $34.60 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 69610

    Office

    $419.28

    Facility

    $260.69

    $42.56 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 69610

    Office

    $473.20

    Facility

    $286.24

    $96.48 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 69610

    Office

    $472.50

    Facility

    $285.53

    $95.78 higher than Wyoming** for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 69610

    Office

    $483.89

    Facility

    $292.68

    $107.17 higher than Wyoming** for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 69610

    Office

    $481.01

    Facility

    $289.80

    $104.29 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 69610

    Office

    $404.97

    Facility

    $253.93

    $28.25 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 69610

    Office

    $421.95

    Facility

    $260.84

    $45.23 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 69610

    Office

    $412.39

    Facility

    $257.78

    $35.67 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 69610

    Office

    $426.06

    Facility

    $263.23

    $49.34 higher than Wyoming** for the office setting.

  • Stockton

    California · 69610

    Office

    $395.69

    Facility

    $250.36

    $18.97 higher than Wyoming** for the office setting.

  • Vallejo

    California · 69610

    Office

    $448.69

    Facility

    $273.92

    $71.97 higher than Wyoming** for the office setting.

  • Visalia

    California · 69610

    Office

    $395.69

    Facility

    $250.36

    $18.97 higher than Wyoming** for the office setting.

  • Yuba City

    California · 69610

    Office

    $395.69

    Facility

    $250.36

    $18.97 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 69610

    Office

    $393.13

    Facility

    $252.04

    $16.41 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 69610

    Office

    $405.98

    Facility

    $263.17

    $29.26 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 69610

    Office

    $378.15

    Facility

    $247.14

    $1.43 higher than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · 69610

    Office

    $401.64

    Facility

    $267.32

    $24.92 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 69610

    Office

    $383.03

    Facility

    $256.26

    $6.31 higher than Wyoming** for the office setting.

  • Atlanta

    Georgia · 69610

    Office

    $390.16

    Facility

    $255.43

    $13.44 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 69610

    Office

    $362.78

    Facility

    $244.50

    $13.94 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 69610

    Office

    $402.95

    Facility

    $252.18

    $26.23 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 69610

    Office

    $351.28

    Facility

    $229.95

    $25.44 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 69610

    Office

    $353.93

    Facility

    $231.94

    $22.79 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 69610

    Office

    $385.84

    Facility

    $263.85

    $9.12 higher than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 69610

    Office

    $374.99

    Facility

    $253.93

    $1.73 lower than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 69610

    Office

    $404.94

    Facility

    $268.76

    $28.22 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 69610

    Office

    $355.71

    Facility

    $232.79

    $21.01 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 69610

    Office

    $351.12

    Facility

    $231.25

    $25.60 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 69610

    Office

    $356.40

    Facility

    $238.51

    $20.32 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 69610

    Office

    $372.19

    Facility

    $247.41

    $4.53 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 69610

    Office

    $356.42

    Facility

    $239.07

    $20.30 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 69610

    Office

    $427.66

    Facility

    $269.33

    $50.94 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 69610

    Office

    $391.67

    Facility

    $252.04

    $14.95 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 69610

    Office

    $405.10

    Facility

    $262.81

    $28.38 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 69610

    Office

    $384.45

    Facility

    $250.26

    $7.73 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · 69610

    Office

    $357.02

    Facility

    $235.02

    $19.70 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · 69610

    Office

    $372.52

    Facility

    $241.11

    $4.20 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · 69610

    Office

    $388.76

    Facility

    $260.80

    $12.04 higher than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 69610

    Office

    $366.01

    Facility

    $244.94

    $10.71 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 69610

    Office

    $373.78

    Facility

    $237.34

    $2.94 lower than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 69610

    Office

    $368.47

    Facility

    $243.96

    $8.25 lower than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · 69610

    Office

    $371.79

    Facility

    $245.55

    $4.93 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 69610

    Office

    $351.79

    Facility

    $237.49

    $24.93 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 69610

    Office

    $346.71

    Facility

    $232.54

    $30.01 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 69610

    Office

    $382.06

    Facility

    $249.46

    $5.34 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 69610

    Office

    $360.17

    Facility

    $236.46

    $16.55 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 69610

    Office

    $369.81

    Facility

    $237.20

    $6.91 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · 69610

    Office

    $352.61

    Facility

    $230.22

    $24.11 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 69610

    Office

    $388.36

    Facility

    $250.33

    $11.64 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 69610

    Office

    $427.21

    Facility

    $273.39

    $50.49 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 69610

    Office

    $409.79

    Facility

    $264.99

    $33.07 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 69610

    Office

    $368.36

    Facility

    $246.76

    $8.36 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · 69610

    Office

    $378.86

    Facility

    $246.13

    $2.14 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · 69610

    Office

    $449.95

    Facility

    $292.29

    $73.23 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 69610

    Office

    $413.51

    Facility

    $268.31

    $36.79 higher than Wyoming** for the office setting.

  • Queens

    New York · 69610

    Office

    $439.85

    Facility

    $283.11

    $63.13 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 69610

    Office

    $365.17

    Facility

    $239.20

    $11.55 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 69610

    Office

    $363.50

    Facility

    $242.43

    $13.22 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 69610

    Office

    $354.40

    Facility

    $235.99

    $22.32 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 69610

    Office

    $403.09

    Facility

    $255.77

    $26.37 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 69610

    Office

    $375.09

    Facility

    $243.02

    $1.63 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 69610

    Office

    $397.57

    Facility

    $259.53

    $20.85 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 69610

    Office

    $363.27

    Facility

    $241.55

    $13.45 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 69610

    Office

    $384.17

    Facility

    $250.11

    $7.45 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · 69610

    Office

    $389.76

    Facility

    $252.78

    $13.04 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 69610

    Office

    $362.60

    Facility

    $240.08

    $14.12 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 69610

    Office

    $368.36

    Facility

    $235.75

    $8.36 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 69610

    Office

    $352.88

    Facility

    $232.35

    $23.84 lower than Wyoming** for the office setting.

  • Austin

    Texas · 69610

    Office

    $392.55

    Facility

    $252.26

    $15.83 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 69610

    Office

    $361.22

    Facility

    $240.55

    $15.50 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 69610

    Office

    $376.77

    Facility

    $245.37

    $0.05 higher than Wyoming** for the office setting.

  • Dallas

    Texas · 69610

    Office

    $379.61

    Facility

    $247.54

    $2.89 higher than Wyoming** for the office setting.

  • Fort Worth

    Texas · 69610

    Office

    $377.72

    Facility

    $246.98

    $1.00 higher than Wyoming** for the office setting.

  • Galveston

    Texas · 69610

    Office

    $378.20

    Facility

    $246.53

    $1.48 higher than Wyoming** for the office setting.

  • Houston

    Texas · 69610

    Office

    $389.55

    Facility

    $257.87

    $12.83 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 69610

    Office

    $369.09

    Facility

    $243.25

    $7.63 lower than Wyoming** for the office setting.

  • Utah

    Utah · 69610

    Office

    $367.05

    Facility

    $242.40

    $9.67 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 69610

    Office

    $372.35

    Facility

    $242.00

    $4.37 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 69610

    Office

    $384.17

    Facility

    $250.11

    $7.45 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · 69610

    Office

    $369.72

    Facility

    $238.44

    $7.00 lower than Wyoming** for the office setting.

  • Rest Of Washington

    Washington · 69610

    Office

    $390.49

    Facility

    $250.86

    $13.77 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 69610

    Office

    $434.58

    Facility

    $271.88

    $57.86 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 69610

    Office

    $358.71

    Facility

    $231.68

    $18.01 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 69610

    Office

    $362.77

    Facility

    $247.54

    $13.95 lower than Wyoming** for the office setting.

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.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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 / territoryRate rangeLocalities
AK$459.651
AL$346.151
AR$341.641
AZ$372.441
CA$395.69–$483.8929
CO$393.131
CT$405.981
DC$430.721
DE$378.151
FL$383.03–$422.623
GA$362.78–$390.162
GU$402.951
HI$402.951
IA$351.281
ID$353.931
IL$374.99–$411.024
IN$355.711
KS$351.121
KY$356.401
LA$356.42–$372.192
MA$391.67–$427.662
MD$384.45–$430.723
ME$357.02–$372.522
MI$366.01–$388.762
MN$373.781
MO$351.79–$371.793
MS$346.711
MT$382.061
NC$360.171
ND$369.811
NE$352.611
NH$388.361
NJ$409.79–$427.212
NM$368.361
NV$378.861
NY$365.17–$449.955
OH$363.501
OK$354.401
OR$375.09–$403.092
PA$363.27–$397.572
PR$384.171
RI$389.761
SC$362.601
SD$368.361
TN$352.881
TX$361.22–$392.558
UT$367.051
VA$372.35–$430.722
VI$384.171
VT$369.721
WA$390.49–$434.582
WI$358.711
WV$362.771
WY$376.721

Explore 69610 on the national rate map →

Where does this rate apply?

Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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.

Browse all communities in Wyoming →

Why are the office and facility amounts different?

For 69610 in Wyoming**, the physician’s office rate is $376.72 and the facility-setting rate is $244.12: a difference of $132.60.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 69610 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$414.39

$376.72 × 110% = $414.39

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.

Compare your contract offer →

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 69610 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

7,623

Code
69610
Physician work
4.36
Practice expense
6.46
Malpractice
0.62

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 69610 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work4.36× 1.0004.3600
Practice expense6.46× 1.0006.4600
Malpractice0.62× 0.7400.4588
Total RVUs11.2788
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$376.72

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 69610 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work4.361
Practice expense6.461
Malpractice0.620.74

(4.36 × 1 + 6.46 × 1 + 0.62 × 0.74) × $33.4009 = $376.72

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work4.361
Practice expense2.491
Malpractice0.620.74

(4.36 × 1 + 2.49 × 1 + 0.62 × 0.74) × $33.4009 = $244.12

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

69610 · Office / nonfacility

$376.72

Effective 2026-10-01

The base rate is $10.46 higher than on 2025-10-01, moving from $366.26 to $376.72 (2.9%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $366.26changed to$376.72

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.47 changed to 4.36
    • Practice expense RVU 6.38 changed to 6.46
    • Malpractice RVU 0.64 changed to 0.62
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $366.26

    Held through RVU25B, RVU25C, RVU25D.

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 fromOffice / nonfacilityFacilityCMS release
2026-10-01$376.72$244.12RVU26D
2026-07-01$376.72$244.12RVU26C
2026-04-01$376.72$244.12RVU26B
2026-01-01$376.72$244.12RVU26A
2025-10-01$366.26$275.04RVU25D
2025-07-01$366.26$275.04RVU25C
2025-04-01$366.26$275.04RVU25B
2025-01-01$366.26$275.04RVU25A

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.

RVUs for 69610PPRRVU2026_Oct_nonQPP.csv, line 7,623 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet