No office rate
Use 69632 for tympanoplasty with ossicular chain reconstruction when no mastoidectomy is performed. Report 69633 when mastoidectomy is also part of the operation.
On this page
CMS RVU26D · Effective 2026-10-01
69633 Tympanoplasty Medicare reimbursement rates in Colorado
Reports tympanoplasty with mastoidectomy and ossicular chain reconstruction to repair the eardrum and restore middle-ear sound transmission. Compare 69633 office and facility rates across CMS payment localities in Colorado.
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 69633 in Colorado?
Colorado 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
$965.19
1 of 1 localities have a supported rate.
Payment area: Colorado
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 69633: Tympanoplasty with mastoidectomy and ossicular reconstruction
Reports tympanoplasty with mastoidectomy and ossicular chain reconstruction to repair the eardrum and restore middle-ear sound transmission.
An otolaryngologist performs this operation to repair the tympanic membrane and reconstruct the middle-ear sound-conducting bones while also removing diseased mastoid air cells. It is commonly used for chronic middle-ear disease, including cases with ossicular damage and mastoid involvement. The surgery takes place in an operating room and may include canalplasty or other middle-ear work integral to the repair.
Select this code when the operative report supports both mastoidectomy and ossicular chain reconstruction as part of the tympanoplasty. Documentation should identify the mastoid work, eardrum repair, and reconstruction performed. Medicare assigns a 90-day global period, including 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 surgery, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 69633
- 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 RVU12.00 · 42%
- Practice expense (office) RVU14.38 · 51%
- Malpractice RVU1.86 · 7%
583
Medicare services in 2024 · #3422 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.
69633 compared with similar codes
Office rates for Colorado, from the same CMS release.
No office rate
Code 69631 describes tympanoplasty without mastoidectomy or ossicular chain reconstruction. This code includes both mastoidectomy and ossicular reconstruction.
No office rate
Both codes are in the tympanoplasty-with-mastoidectomy family. Distinguish them by whether the documented operation includes ossicular chain reconstruction.
Compare 69633 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
Colorado →
Office / nonfacility
Unavailable
Facility
$965.19
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 69633 in Colorado.
PPRRVU2026_Oct_nonQPP.csv
7,627
- Code
- 69633
- Physician work
- 12.00
- Practice expense
- 14.38
- Malpractice
- 1.86
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 12.00 | × 1.012 | 12.1440 |
| Practice expense | 14.38 | × 1.064 | 15.3003 |
| Malpractice | 1.86 | × 0.781 | 1.4527 |
| Total RVUs | 28.8970 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Colorado$965.19
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 12 | 1.012 |
| Practice expense | 14.38 | 1.064 |
| Malpractice | 1.86 | 0.781 |
(12 × 1.012 + 14.38 × 1.064 + 1.86 × 0.781) × $33.4009 = $965.19
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.
69633 billing questions
How does this differ from 69632?
This code includes mastoidectomy along with tympanoplasty and ossicular chain reconstruction. Code 69632 describes the reconstruction without mastoidectomy.
What operative details support reporting this code?
The operative report should document mastoidectomy, tympanic membrane repair, and reconstruction of the ossicular chain. A tympanoplasty without mastoid work does not support this code.
Can the mastoidectomy or ossicular reconstruction be billed separately?
Those elements are included in the reported tympanoplasty service when performed as part of this operation. Do not separately report them as standalone services for the same operative work.
How does Medicare handle bilateral surgery?
CMS lists this as a bilateral procedure. Modifier 50 is paid at 150%.
Can an assistant surgeon or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted under the CMS rules provided for this service.
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.
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
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
3401112,CA,69,VISALIA,1.017,1.096,0.536
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899