Billing code 69633: TympanoplastyMedicare rate & RVUs in Texas
Reports tympanoplasty with mastoidectomy and ossicular chain reconstruction to repair the eardrum and restore middle-ear sound transmission.
CMS doesn’t publish an office rate for 69633 in Texas.
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 69633 covers
An otolaryngologist performs this operation to repair the tympanic membrane and reconstruct the middle-ear sound-conducting bones while also removing diseased mastoid air cells. It is commonly used for chronic middle-ear disease, including cases with ossicular damage and mastoid involvement. The surgery takes place in an operating room and may include canalplasty or other middle-ear work integral to the repair.
Select this code when the operative report supports both mastoidectomy and ossicular chain reconstruction as part of the tympanoplasty. Documentation should identify the mastoid work, eardrum repair, and reconstruction performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care for 90 days. When multiple procedures are performed 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%. Medicare does not pay an assistant at surgery for this service; 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 69633 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 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Unavailable | $964.82 |
| Beaumont | Unavailable | $895.60 |
| Brazoria | Unavailable | $928.46 |
| Dallas | Unavailable | $936.11 |
| Fort Worth | Unavailable | $932.11 |
| Galveston | Unavailable | $932.40 |
| Houston | Unavailable | $966.45 |
| Rest Of Texas | Unavailable | $912.72 |
How the 69633 rate is calculated
Each of 69633’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 · 69633
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 12.00Practice expense 14.38Malpractice 1.86
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 69633
69633 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 69633
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 · 69633
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
69633 without 50 · national facility
$943.24
Tympanoplasty
69633-50 · Bilateral: 150%
$1,414.86
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).
69633 compared with similar codes
Compare codes
69633 vs 69632 vs 69631 vs 69635: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 69632Tympanoplasty
- Use 69632 for tympanoplasty with ossicular chain reconstruction when no mastoidectomy is performed. Report 69633 when mastoidectomy is also part of the operation.
- 69631Tympanoplasty
- Code 69631 describes tympanoplasty without mastoidectomy or ossicular chain reconstruction. This code includes both mastoidectomy and ossicular reconstruction.
- 69635Tympanoplasty
- Both codes are in the tympanoplasty-with-mastoidectomy family. Distinguish them by whether the documented operation includes ossicular chain reconstruction.
69633 billing questions
How does this differ from 69632?
This code includes mastoidectomy along with tympanoplasty and ossicular chain reconstruction. Code 69632 describes the reconstruction without mastoidectomy.
What operative details support reporting this code?
The operative report should document mastoidectomy, tympanic membrane repair, and reconstruction of the ossicular chain. A tympanoplasty without mastoid work does not support this code.
Can the mastoidectomy or ossicular reconstruction be billed separately?
Those elements are included in the reported tympanoplasty service when performed as part of this operation. Do not separately report them as standalone services for the same operative work.
How does Medicare handle bilateral surgery?
CMS lists this as a bilateral procedure. Modifier 50 is paid at 150%.
Can an assistant surgeon or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted under the CMS rules provided for this service.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard 50% multiple-procedure reduction.
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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