CPT code 69641: Tympanoplasty2026 Medicare rate & RVUs in Kansas
Reports tympanic membrane reconstruction performed with mastoidectomy and middle-ear surgery when the surgeon does not reconstruct the ossicular chain.
CMS doesn’t publish an office rate for 69641 in Kansas.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 69641 covers
An otolaryngologist, often a neurotologist, performs this operation to repair the tympanic membrane while operating on the mastoid and middle ear. It may be used for chronic ear disease, including cholesteatoma, when the surgical plan requires mastoidectomy along with tympanic membrane reconstruction. Canalplasty and related middle-ear work are included when performed as part of the service. The procedure is typically done in an operating room, such as a hospital or ambulatory surgery center.
Select the code from the operative work: tympanoplasty with mastoidectomy, with no ossicular chain reconstruction. The operative report should describe the tympanic membrane repair, mastoid work, middle-ear procedures, and whether the ossicular chain was reconstructed. The day-before preoperative visit and 90 days of related postoperative care are included in the global period. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures at 50%. For bilateral reporting with modifier 50, CMS pays 150%. Assistant-at-surgery services are not paid; co-surgeons and team surgery are not permitted.
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.
69641 in Kansas
| Payment locality | Office | Facility |
|---|---|---|
| Kansas | Unavailable | $854.69 |
How the 69641 rate is calculated
Each of 69641’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 69641
RVUs × geographic indexes × conversion factor
Work12.57
12.57 RVUs× 1.000 GPCI
Practice expense13.37
13.37 RVUs× 1.000 GPCI
Malpractice1.85
1.85 RVUs× 1.000 GPCI
Adjusted RVUs
27.7900
Conversion factor
$33.4009
Medicare rate
$928.21
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 69641
69641 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 69641
Tympanoplasty
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.07/0.79/0.14 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 69641
Tympanoplasty
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
69641 without 50 · national facility
$928.21
Tympanoplasty
69641-50 · Bilateral: 150%
$1,392.32
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
69641 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 69631Tympanoplasty
- Choose 69631 for tympanoplasty without mastoidectomy. Choose 69641 when the operative service includes mastoidectomy.
- 69642Tympanoplasty
- Both include tympanoplasty and mastoidectomy; 69642 includes ossicular chain reconstruction, while 69641 does not.
- 69643Tympanoplasty
- 69643 specifies an intact or reconstructed canal wall and no ossicular reconstruction. For 69641, select based on its operative scope rather than assuming that wall configuration.
- 69645Tympanoplasty
- 69645 is for tympanoplasty with radical or complete mastoidectomy and no ossicular reconstruction; 69641 describes a different mastoidectomy scope.
69641 billing questions
How does this differ from 69631?
This code includes mastoidectomy with tympanoplasty. Code 69631 describes tympanoplasty without mastoidectomy.
When should 69642 be used instead?
Use 69642 when the surgeon also reconstructs the ossicular chain. Code 69641 applies when that reconstruction is not performed.
Are canalplasty and middle-ear work separately reported?
Canalplasty and middle-ear surgery performed as part of this tympanoplasty with mastoidectomy are included in the service.
How is bilateral surgery reported?
Report bilateral surgery with modifier 50 when applicable; CMS pays 150% of the single-side allowance.
What postoperative care is included?
The global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
CMS does not pay for an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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