No office rate
69635 describes mastoidectomy with an intact or reconstructed canal wall and no ossicular chain reconstruction. 69637 includes chain reconstruction and radical or complete mastoidectomy.
On this page
CMS RVU26D · Effective 2026-10-01
69636 Tympanoplasty Medicare reimbursement rates in Arkansas
Reports tympanoplasty with radical or complete mastoidectomy and ossicular chain reconstruction for disease requiring extensive mastoid surgery and middle-ear reconstruction. Compare 69636 office and facility rates across CMS payment localities in Arkansas.
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 69636 in Arkansas?
Arkansas has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1153.16
1 of 1 localities have a supported rate.
Payment area: Arkansas
One mapped payment locality.
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.
Otolaryngology surgery
About 69636: Tympanoplasty with radical mastoidectomy and reconstruction
Reports tympanoplasty with radical or complete mastoidectomy and ossicular chain reconstruction for disease requiring extensive mastoid surgery and middle-ear reconstruction.
An otolaryngologist performs this operation to treat disease involving the middle ear and mastoid when the surgical plan includes radical or complete mastoidectomy and reconstruction of the ossicular chain. The work combines removal of diseased mastoid air cells with repair of the eardrum and restoration of sound-conducting structures. It is generally performed in an operating room, with the operative report documenting the extent of mastoid removal and the reconstruction performed.
Choose this code when the procedure includes both the radical or complete mastoidectomy and ossicular chain reconstruction; a less extensive mastoidectomy or tympanoplasty without chain reconstruction points to a different code in the family. 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 multiple procedure reduction. For bilateral surgery, modifier 50 is paid at 150%. An assistant is payable only when medical necessity is documented; co-surgeons and team surgery are not permitted.
CMS billing rules for 69636
- 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
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU15.04 · 39%
- Practice expense (office) RVU21.37 · 55%
- Malpractice RVU2.19 · 6%
76
Medicare services in 2024 · #5098 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.
69636 compared with similar codes
Office rates for Arkansas, from the same CMS release.
No office rate
69632 includes ossicular chain reconstruction without mastoidectomy. Use 69637 when the operation also includes radical or complete mastoidectomy.
No office rate
69633 includes tympanoplasty with mastoidectomy but no ossicular chain reconstruction. 69637 includes chain reconstruction and radical or complete mastoidectomy.
Compare 69636 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.
1 of 1 payment localities
Arkansas →
Office / nonfacility
Unavailable
Facility
$1153.16
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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 69636 in Arkansas.
PPRRVU2026_Oct_nonQPP.csv
7,629
- Code
- 69636
- Physician work
- 15.04
- Practice expense
- 21.37
- Malpractice
- 2.19
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 15.04 | × 1.000 | 15.0400 |
| Practice expense | 21.37 | × 0.859 | 18.3568 |
| Malpractice | 2.19 | × 0.515 | 1.1279 |
| Total RVUs | 34.5247 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Arkansas$1153.16
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 15.04 | 1 |
| Practice expense | 21.37 | 0.859 |
| Malpractice | 2.19 | 0.515 |
(15.04 × 1 + 21.37 × 0.859 + 2.19 × 0.515) × $33.4009 = $1153.16
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.
69636 billing questions
How does 69637 differ from 69636?
Both include ossicular chain reconstruction with mastoidectomy. 69637 is for radical or complete mastoidectomy, while 69636 describes surgery with an intact or reconstructed canal wall.
When is 69637 appropriate instead of 69632?
69637 includes radical or complete mastoidectomy as well as ossicular chain reconstruction. 69632 is for tympanoplasty with chain reconstruction without mastoidectomy.
What should the operative report document?
Document the extent of mastoidectomy, the tympanoplasty performed, and the ossicular chain reconstruction. These details support choosing 69637 over less extensive mastoidectomy or non-reconstruction codes.
How is bilateral surgery reported?
CMS identifies this as a bilateral procedure; modifier 50 is paid at 150%. The operative documentation should support surgery on both sides.
Can an assistant or co-surgeon be billed?
An assistant at surgery is payable only with documentation of medical necessity. Co-surgeons and team surgery are not permitted for this code.
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 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.
7,62669632,,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
7,62769633,,Rebuild eardrum structures,A,,12.00,14.38,NA,14.38,,1.86,28.24,28.24,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,62869635,,Repair eardrum structures,A,,13.17,19.71,NA,19.71,,2.33,35.21,35.21,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,62969636,,Rebuild eardrum structures,A,,15.04,21.37,NA,21.37,,2.19,38.60,38.60,0,090,0.07,0.79,0.14,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,63069637,,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
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
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