No office rate
Both describe tympanoplasty without mastoidectomy; choose 69632 when the surgeon also reconstructs the ossicular chain.
On this page
CMS RVU26D · Effective 2026-10-01
69632 Tympanoplasty Medicare reimbursement rates in Connecticut
Reports tympanic membrane repair with ossicular chain reconstruction when the surgeon restores middle-ear sound transmission without performing a mastoidectomy. Compare 69632 office and facility rates across CMS payment localities in Connecticut.
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 69632 in Connecticut?
Connecticut 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
$1028.35
1 of 1 localities have a supported rate.
Payment area: Connecticut
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 69632: Tympanoplasty with ossicular reconstruction
Reports tympanic membrane repair with ossicular chain reconstruction when the surgeon restores middle-ear sound transmission without performing a mastoidectomy.
An otolaryngologist performs this operation to repair the tympanic membrane and reconstruct damaged or discontinuous middle-ear ossicles, often in a patient with a chronic perforation and conductive hearing loss. The surgeon may use a graft to close the eardrum and reconstruct the sound-conducting chain. The service is performed in an operating room; the defining features are ossicular reconstruction and no mastoidectomy.
Select this code from the operative report, which should document the eardrum repair, ossicular work, laterality, and whether a mastoidectomy was performed. 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 50% reduction. For bilateral surgery, modifier 50 is paid at 150%. CMS does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.
CMS billing rules for 69632
- 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 RVU12.64 · 44%
- Practice expense (office) RVU14.47 · 50%
- Malpractice RVU1.91 · 7%
282
Medicare services in 2024 · #4042 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.
69632 compared with similar codes
Office rates for Connecticut, from the same CMS release.
No office rate
This code includes ossicular reconstruction but no mastoidectomy. 69633 includes mastoidectomy and no ossicular reconstruction.
No office rate
Both include ossicular reconstruction, but 69635 includes mastoidectomy; 69632 does not.
$790.91
Myringoplasty is limited to tympanic membrane repair. Use 69632 for tympanoplasty that also reconstructs the ossicular chain.
Compare 69632 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
Connecticut →
Office / nonfacility
Unavailable
Facility
$1028.35
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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 69632 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
7,626
- Code
- 69632
- Physician work
- 12.64
- Practice expense
- 14.47
- Malpractice
- 1.91
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 12.64 | × 1.020 | 12.8928 |
| Practice expense | 14.47 | × 1.077 | 15.5842 |
| Malpractice | 1.91 | × 1.210 | 2.3111 |
| Total RVUs | 30.7881 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Connecticut$1028.35
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 12.64 | 1.02 |
| Practice expense | 14.47 | 1.077 |
| Malpractice | 1.91 | 1.21 |
(12.64 × 1.02 + 14.47 × 1.077 + 1.91 × 1.21) × $33.4009 = $1028.35
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.
69632 billing questions
How does this differ from 69631?
69632 includes reconstruction of the ossicular chain along with tympanoplasty. Use 69631 when the tympanoplasty is performed without ossicular chain reconstruction.
When is 69633 a better choice?
69633 describes tympanoplasty with mastoidectomy and without ossicular chain reconstruction. This code describes ossicular reconstruction without mastoidectomy.
Can the eardrum repair and ossicular reconstruction be reported separately?
The code represents the tympanoplasty with ossicular chain reconstruction as a combined operation. Do not report a second tympanoplasty code for the same repair.
How is bilateral surgery reported?
For surgery on both ears, report modifier 50; CMS pays the bilateral procedure at 150%.
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.
7,62369610,,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
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
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
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808