CPT code 69632: Tympanoplasty2026 Medicare rate & RVUs in Kentucky
Reports tympanic membrane repair with ossicular chain reconstruction when the surgeon restores middle-ear sound transmission without performing a mastoidectomy.
CMS doesn’t publish an office rate for 69632 in Kentucky.
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 69632 covers
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.
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 in Kentucky
| Payment locality | Office | Facility |
|---|---|---|
| Kentucky | Unavailable | $910.22 |
How the 69632 rate is calculated
Each of 69632’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 · 69632
RVUs × geographic indexes × conversion factor
Work12.64
12.64 RVUs× 1.000 GPCI
Practice expense14.47
14.47 RVUs× 1.000 GPCI
Malpractice1.91
1.91 RVUs× 1.000 GPCI
Adjusted RVUs
29.0200
Conversion factor
$33.4009
Medicare rate
$969.29
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 69632
69632 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 69632
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 · 69632
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
69632 without 50 · national facility
$969.29
Tympanoplasty
69632-50 · Bilateral: 150%
$1,453.94
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).
69632 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 69631Tympanoplasty
- Both describe tympanoplasty without mastoidectomy; choose 69632 when the surgeon also reconstructs the ossicular chain.
- 69633Tympanoplasty
- This code includes ossicular reconstruction but no mastoidectomy. 69633 includes mastoidectomy and no ossicular reconstruction.
- 69635Tympanoplasty
- Both include ossicular reconstruction, but 69635 includes mastoidectomy; 69632 does not.
- 69620Myringoplasty
- Myringoplasty is limited to tympanic membrane repair. Use 69632 for tympanoplasty that also reconstructs the ossicular chain.
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 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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