$213.88–$268.55
Choose 0583T when an automated tube delivery system is used. Code 69433 describes tympanostomy tube placement under local or topical anesthesia without that system.
On this page
CMS RVU26D · Effective 2026-10-01
0583T Tympanostomy Medicare reimbursement rates in California
Reports tympanostomy tube insertion using an automated delivery system, commonly for patients with recurrent middle-ear effusion or ear infections. Compare 0583T office and facility rates across CMS payment localities in California.
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 0583T in California?
California has 29 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 29 payment areas shown below, using the same CMS release.
Office / nonfacility
$1639.60–$2136.27
29 of 29 localities have a supported rate.
Lowest: Chico
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $496.67 per service.
Facility setting
$127.71–$147.09
29 of 29 localities have a supported rate.
Lowest: Chico
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $19.38 per service.
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.
Where 0583T pays more and less in California
29 payment localities
$1639.60 to $2136.27
Otolaryngology procedure
About 0583T: Tympanostomy with automated tube delivery
Reports tympanostomy tube insertion using an automated delivery system, commonly for patients with recurrent middle-ear effusion or ear infections.
An otolaryngologist uses an automated tube delivery system to create an opening in the tympanic membrane and place a ventilating tube. The procedure is used to ventilate the middle ear, commonly for recurrent otitis media or persistent middle-ear fluid. It may be performed in an office or procedure setting, including for patients who can undergo the procedure without a conventional operating-room approach.
Report 0583T for the tympanostomy performed with the automated delivery system, rather than for routine tube placement using another method. Document the treated ear or ears, the indication, and use of the automated system. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. For bilateral treatment, modifier 50 is paid at 150%. When related endoscopies are performed together, endoscopy-family pricing applies. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 0583T
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Endoscopy family pricing applies when related endoscopies are performed together.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU2.63 · 6%
- Practice expense (office) RVU42.27 · 94%
- Malpractice RVU0.16 · 0%
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.
0583T compared with similar codes
Office rates for California, from the same CMS release.
No office rate
Code 69436 describes tympanostomy tube placement under general anesthesia. Use 0583T for placement using the automated delivery system.
$202.82–$255.44
Code 69420 describes myringotomy without placement of a ventilating tube. Use 0583T when the automated system is used to place a tube.
Compare 0583T 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.
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield | Office $1640.16 | Facility $128.28 |
| Chico | Office $1639.60 | Facility $127.71 |
| El Centro | Office $1639.62 | Facility $127.74 |
| Fresno | Office $1639.60 | Facility $127.71 |
| Hanford-Corcoran | Office $1639.60 | Facility $127.71 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $1765.22 | Facility $133.32 |
| Madera | Office $1639.60 | Facility $127.71 |
| Merced | Office $1639.60 | Facility $127.71 |
| Modesto | Office $1639.60 | Facility $127.71 |
| Napa | Office $1956.92 | Facility $138.80 |
| Oxnard-Thousand Oaks-Ventura | Office $1762.45 | Facility $131.93 |
| Redding | Office $1639.60 | Facility $127.71 |
| Rest Of California | Office $1639.60 | Facility $127.71 |
| Riverside-San Bernardino-Ontario | Office $1641.38 | Facility $129.49 |
| Sacramento-Roseville-Folsom | Office $1735.86 | Facility $131.55 |
| Salinas | Office $1729.77 | Facility $130.98 |
| San Diego-Chula Vista-Carlsbad | Office $1781.96 | Facility $132.13 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $2089.36 | Facility $144.32 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $2089.18 | Facility $144.14 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $2136.27 | Facility $147.09 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $2135.53 | Facility $146.35 |
| San Luis Obispo-Paso Robles | Office $1700.31 | Facility $129.10 |
| Santa Cruz-Watsonville | Office $1807.96 | Facility $131.92 |
| Santa Maria-Santa Barbara | Office $1739.39 | Facility $130.95 |
| Santa Rosa-Petaluma | Office $1827.10 | Facility $133.13 |
| Stockton | Office $1639.60 | Facility $127.71 |
| Vallejo | Office $1956.66 | Facility $138.53 |
| Visalia | Office $1639.60 | Facility $127.71 |
| Yuba City | Office $1639.60 | Facility $127.71 |
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0583T billing questions
When should 0583T be selected instead of 69433 or 69436?
Use 0583T when the tympanostomy tube is placed with an automated tube delivery system. Codes 69433 and 69436 describe tube placement under local or general anesthesia, respectively, without specifying that automated system.
How is bilateral treatment reported?
Report bilateral treatment with modifier 50. CMS pays the bilateral procedure at 150%.
What documentation supports 0583T?
Document the clinical reason for tube placement, the ear treated, and that the automated tube delivery system was used. For bilateral treatment, identify both ears.
Is same-day follow-up included?
Yes. The code has a 0-day global period, which includes same-day preoperative and postoperative care.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. CMS does not permit co-surgeons or team surgery for this code.
What happens when related endoscopies are performed in the same session?
CMS applies endoscopy-family pricing when related endoscopies are performed together. The claim should reflect the procedures actually performed.
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.
5330582F,,No trnsfr from anesth to cc,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
5340582T,,Trurl abltj mal prst8 tiss,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5350583F,,Transfer care checklist used,M,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
5360583T,,Tmpst auto tube dlvr sys,A,,2.63,42.27,,0.97,,0.16,45.06,3.76,0,000,0.00,0.00,0.00,3,1,2,0,0,9,31231,33.4009,09,0,99,0.00,0.00,0.00
5370584F,,No transfercare chklist used,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
5380584T,,Perq islet cell transplant,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5390585T,,Laps islet cell transplant,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00