No office rate
Both include mastoidectomy and an intact or reconstructed canal wall. 69644 includes ossicular chain reconstruction; 69643 does not.
On this page
CMS RVU26D · Effective 2026-10-01
69644 Tympanoplasty Medicare reimbursement rates in Ohio
Reports tympanoplasty with mastoidectomy, preservation or reconstruction of the ear canal wall, and reconstruction of the middle-ear ossicular chain. Compare 69644 office and facility rates across CMS payment localities in Ohio.
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 69644 in Ohio?
Ohio 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
$1308.75
1 of 1 localities have a supported rate.
Payment area: Ohio
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 69644: Tympanoplasty with canal wall reconstruction
Reports tympanoplasty with mastoidectomy, preservation or reconstruction of the ear canal wall, and reconstruction of the middle-ear ossicular chain.
An otolaryngologist performs this operation to remove disease from the mastoid and middle ear, repair the eardrum, and reconstruct the ossicular chain while preserving or rebuilding the ear canal wall. It is commonly used for chronic middle-ear disease, including cholesteatoma, when surgery requires both mastoid work and restoration of the sound-conducting bones. The operation is generally performed in a surgical facility under anesthesia.
Select this code when the operative report supports mastoidectomy, tympanic membrane repair, ossicular chain reconstruction, and an intact or reconstructed canal wall. Documentation should describe the disease removed, the eardrum repair, the ossicular reconstruction, and the canal-wall approach. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 69644
- 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 RVU16.80 · 41%
- Practice expense (office) RVU21.80 · 53%
- Malpractice RVU2.46 · 6%
417
Medicare services in 2024 · #3704 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.
69644 compared with similar codes
Office rates for Ohio, from the same CMS release.
No office rate
Both include ossicular chain reconstruction, but 69646 uses a canal-wall-down approach; 69644 preserves or reconstructs the canal wall.
No office rate
Both include ossicular chain reconstruction, but 69632 is tympanoplasty without mastoidectomy. 69644 includes mastoidectomy.
Compare 69644 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
Ohio →
Office / nonfacility
Unavailable
Facility
$1308.75
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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 69644 in Ohio.
PPRRVU2026_Oct_nonQPP.csv
7,634
- Code
- 69644
- Physician work
- 16.80
- Practice expense
- 21.80
- Malpractice
- 2.46
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 16.80 | × 1.000 | 16.8000 |
| Practice expense | 21.80 | × 0.913 | 19.9034 |
| Malpractice | 2.46 | × 1.008 | 2.4797 |
| Total RVUs | 39.1831 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Ohio$1308.75
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 16.8 | 1 |
| Practice expense | 21.8 | 0.913 |
| Malpractice | 2.46 | 1.008 |
(16.8 × 1 + 21.8 × 0.913 + 2.46 × 1.008) × $33.4009 = $1308.75
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.
69644 billing questions
How does this differ from 69643?
Both involve tympanoplasty with mastoidectomy and an intact or reconstructed canal wall. Report 69644 when the surgeon also reconstructs the ossicular chain; 69643 is the corresponding option without that reconstruction.
Is mastoidectomy separately reported with this code?
The mastoidectomy is part of the combined tympanoplasty service represented by 69644. The operative report should support the mastoid work and the associated eardrum and ossicular reconstruction.
When is 69646 a better choice?
Use 69646 for the related operation with a canal-wall-down approach and ossicular chain reconstruction. Code 69644 describes an intact or reconstructed canal wall.
How should bilateral surgery be reported?
CMS identifies this as a bilateral procedure; modifier 50 is paid at 150%. The record should support surgery on both ears.
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.
7,63169641,,Revise middle ear & mastoid,A,,12.57,13.37,NA,13.37,,1.85,27.79,27.79,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,63269642,,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
8213282,NY,99,REST OF NEW YORK,1.000,0.950,0.703
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703