No office rate
Both describe tympanoplasty with mastoidectomy without ossicular chain reconstruction. Choose 69645 when the operative report supports complete mastoidectomy.
On this page
CMS RVU26D · Effective 2026-10-01
69645 Tympanoplasty Medicare reimbursement rates in Mississippi
Reports tympanic membrane and middle-ear repair performed with complete mastoidectomy when the surgeon does not reconstruct the ossicular chain. Compare 69645 office and facility rates across CMS payment localities in Mississippi.
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 69645 in Mississippi?
Mississippi 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
$1228.75
1 of 1 localities have a supported rate.
Payment area: Mississippi
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 69645: Tympanoplasty with complete mastoidectomy
Reports tympanic membrane and middle-ear repair performed with complete mastoidectomy when the surgeon does not reconstruct the ossicular chain.
An otolaryngologist uses this code for tympanoplasty combined with complete mastoidectomy, including associated work in the ear canal or middle ear. A typical clinical setting is surgery for chronic middle-ear disease or cholesteatoma involving the mastoid. The distinguishing feature is the extent of mastoid removal; ossicular chain reconstruction is not part of this service.
Choose the code from the operative report, which should support complete mastoidectomy and describe the tympanoplasty and middle-ear work performed. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For bilateral surgery reported with modifier 50, CMS pays at 150%. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and the others at 50%. CMS does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
CMS billing rules for 69645
- 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 RVU16.29 · 40%
- Practice expense (office) RVU21.73 · 54%
- Malpractice RVU2.42 · 6%
363
Medicare services in 2024 · #3819 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.
69645 compared with similar codes
Office rates for Mississippi, from the same CMS release.
No office rate
Both include complete mastoidectomy; 69646 is the related variant that includes ossicular chain reconstruction.
No office rate
69631 describes tympanoplasty without mastoidectomy. Use 69645 when the surgeon also performs complete mastoidectomy.
Compare 69645 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
Mississippi →
Office / nonfacility
Unavailable
Facility
$1228.75
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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 69645 in Mississippi.
PPRRVU2026_Oct_nonQPP.csv
7,635
- Code
- 69645
- Physician work
- 16.29
- Practice expense
- 21.73
- Malpractice
- 2.42
GPCI2026.csv
67
- Locality
- Mississippi
- Physician work
- 1.000
- Practice expense
- 0.861
- Malpractice
- 0.739
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 16.29 | × 1.000 | 16.2900 |
| Practice expense | 21.73 | × 0.861 | 18.7095 |
| Malpractice | 2.42 | × 0.739 | 1.7884 |
| Total RVUs | 36.7879 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Mississippi$1228.75
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 16.29 | 1 |
| Practice expense | 21.73 | 0.861 |
| Malpractice | 2.42 | 0.739 |
(16.29 × 1 + 21.73 × 0.861 + 2.42 × 0.739) × $33.4009 = $1228.75
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.
69645 billing questions
How does 69645 differ from 69641?
69645 identifies tympanoplasty with complete mastoidectomy and no ossicular chain reconstruction. Use 69641 for the corresponding tympanoplasty-mastoidectomy service when the operative report does not support complete mastoidectomy.
Can 69645 be reported when the ossicular chain is reconstructed?
No. This code describes the service without ossicular chain reconstruction; select the applicable complete-mastoidectomy code that includes reconstruction when the surgeon performs it.
Does 69645 include tympanoplasty and mastoid work?
Yes. It represents the combined tympanoplasty and complete mastoidectomy service, including associated canal or middle-ear work described for the procedure.
How is bilateral surgery reported?
Report modifier 50 for bilateral surgery. CMS pays this bilateral procedure at 150%.
How does the multiple-procedure reduction affect 69645?
When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and the other procedures at 50%.
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.
7,63269642,,Revise middle ear & mastoid,A,,16.63,16.41,NA,16.41,,2.43,35.47,35.47,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,63369643,,Revise middle ear & mastoid,A,,15.20,15.09,NA,15.09,,2.27,32.56,32.56,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,63469644,,Revise middle ear & mastoid,A,,16.80,21.80,NA,21.80,,2.46,41.06,41.06,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,63569645,,Revise middle ear & mastoid,A,,16.29,21.73,NA,21.73,,2.42,40.44,40.44,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,63669646,,Revise middle ear & mastoid,A,,17.91,22.21,NA,22.21,,2.73,42.85,42.85,0,090,0.07,0.79,0.14,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,63769650,,Stapes mobilization,A,,9.56,10.53,NA,10.53,,1.39,21.48,21.48,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,63869660,,Revise middle ear bone,A,,11.73,11.07,NA,11.07,,1.72,24.52,24.52,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974