Billing code 0583T: TympanostomyMedicare rate & RVUs in Texas
Reports tympanostomy tube insertion using an automated delivery system, commonly for patients with recurrent middle-ear effusion or ear infections.
Medicare pays $1,377.60–$1,586.50 for 0583T in the office in Texas, from Beaumont to Austin. Which amount applies depends on the service address.
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 0583T covers
An otolaryngologist uses an automated tube delivery system to create an opening in the tympanic membrane and place a ventilating tube. The procedure is used to ventilate the middle ear, commonly for recurrent otitis media or persistent middle-ear fluid. It may be performed in an office or procedure setting, including for patients who can undergo the procedure without a conventional operating-room approach.
Report 0583T for the tympanostomy performed with the automated delivery system, rather than for routine tube placement using another method. Document the treated ear or ears, the indication, and use of the automated system. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. For bilateral treatment, modifier 50 is paid at 150%. When related endoscopies are performed together, endoscopy-family pricing applies. An assistant at surgery may be 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.
Where 0583T pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 payment localities
$1377.60 to $1586.50
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | $1,586.50 | $127.03 |
| Beaumont | $1,377.60 | $122.29 |
| Brazoria | $1,491.86 | $124.82 |
| Dallas | $1,499.43 | $125.49 |
| Fort Worth | $1,485.38 | $125.24 |
| Galveston | $1,494.95 | $125.14 |
| Houston | $1,497.87 | $128.07 |
| Rest Of Texas | $1,432.52 | $123.42 |
How the 0583T rate is calculated
Each of 0583T’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 · 0583T
RVUs × geographic indexes × conversion factor
Work2.63
2.63 RVUs× 1.000 GPCI
Practice expense42.27
42.27 RVUs× 1.000 GPCI
Malpractice0.16
0.16 RVUs× 1.000 GPCI
Adjusted RVUs
45.0600
Conversion factor
$33.4009
Medicare rate
$1,505.04
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 0583T
The CMS indicators that decide how 0583T is paid alongside other services.
CMS payment indicators · 0583T
Tympanostomy
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 3 | Endoscopy family rules apply. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
0583T without 50 · national office
$1,505.04
Tympanostomy
0583T-50 · Bilateral: 150%
$2,257.56
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).
0583T compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 69433Ear tube placement
- Choose 0583T when an automated tube delivery system is used. Code 69433 describes tympanostomy tube placement under local or topical anesthesia without that system.
- 69436Tympanostomy
- Code 69436 describes tympanostomy tube placement under general anesthesia. Use 0583T for placement using the automated delivery system.
- 69420Eardrum incision
- Code 69420 describes myringotomy without placement of a ventilating tube. Use 0583T when the automated system is used to place a tube.
0583T billing questions
When should 0583T be selected instead of 69433 or 69436?
Use 0583T when the tympanostomy tube is placed with an automated tube delivery system. Codes 69433 and 69436 describe tube placement under local or general anesthesia, respectively, without specifying that automated system.
How is bilateral treatment reported?
Report bilateral treatment with modifier 50. CMS pays the bilateral procedure at 150%.
What documentation supports 0583T?
Document the clinical reason for tube placement, the ear treated, and that the automated tube delivery system was used. For bilateral treatment, identify both ears.
Is same-day follow-up included?
Yes. The code has a 0-day global period, which includes same-day preoperative and postoperative care.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. CMS does not permit co-surgeons or team surgery for this code.
What happens when related endoscopies are performed in the same session?
CMS applies endoscopy-family pricing when related endoscopies are performed together. The claim should reflect the procedures actually performed.
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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