No office rate
Both describe tympanoplasty without mastoidectomy; 69632 includes ossicular chain reconstruction, while 69631 does not.
On this page
CMS RVU26D · Effective 2026-10-01
69631 Tympanoplasty Medicare reimbursement rates in Wyoming
An otolaryngologist repairs a tympanic membrane, often for a persistent perforation, without mastoidectomy or ossicular chain reconstruction. Compare 69631 office and facility rates across CMS payment localities in Wyoming.
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 69631 in Wyoming?
Wyoming 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
$786.78
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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 69631: Tympanoplasty without mastoidectomy or ossicular reconstruction
An otolaryngologist repairs a tympanic membrane, often for a persistent perforation, without mastoidectomy or ossicular chain reconstruction.
An otolaryngologist uses this operation to close a tympanic membrane perforation, commonly one that persists after infection or causes recurrent drainage or conductive hearing problems. The surgeon may use a graft such as fascia or cartilage. The work can include canalplasty, atticotomy, or middle-ear surgery as part of the tympanoplasty. The procedure is commonly performed in a hospital or ambulatory surgery center.
Select this code when the operative report supports tympanoplasty without mastoidectomy and without ossicular chain reconstruction. Document the perforation, surgical approach, graft or repair performed, and whether mastoid or ossicular-chain work was done. The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period. 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%. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.
CMS billing rules for 69631
- 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 RVU9.80 · 41%
- Practice expense (office) RVU12.69 · 53%
- Malpractice RVU1.44 · 6%
3.1K
Medicare services in 2024 · #2157 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.
69631 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
This is the related tympanoplasty code when mastoidectomy is performed. Code 69631 is for tympanoplasty without mastoidectomy.
$376.72
Code 69610 describes tympanic membrane repair; 69631 represents tympanoplasty, which may include grafting and related middle-ear work.
$733.61
Myringoplasty is a distinct membrane-repair service. Choose 69631 when the operation is tympanoplasty without mastoidectomy or ossicular chain reconstruction.
Compare 69631 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
Wyoming** →
Office / nonfacility
Unavailable
Facility
$786.78
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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 69631 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
7,625
- Code
- 69631
- Physician work
- 9.80
- Practice expense
- 12.69
- Malpractice
- 1.44
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.80 | × 1.000 | 9.8000 |
| Practice expense | 12.69 | × 1.000 | 12.6900 |
| Malpractice | 1.44 | × 0.740 | 1.0656 |
| Total RVUs | 23.5556 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$786.78
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.8 | 1 |
| Practice expense | 12.69 | 1 |
| Malpractice | 1.44 | 0.74 |
(9.8 × 1 + 12.69 × 1 + 1.44 × 0.74) × $33.4009 = $786.78
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.
69631 billing questions
How is this different from code 69632?
Code 69631 is for tympanoplasty without ossicular chain reconstruction. Use 69632 when the operation also reconstructs the ossicular chain.
Can canalplasty or atticotomy be separately reported?
These may be part of the tympanoplasty service described by this code. Do not report them separately when they are performed as part of that repair.
When would code 69610 be a better fit?
Code 69610 describes tympanic membrane repair rather than the more extensive tympanoplasty represented by 69631. The operative details should support which service was performed.
What documentation supports reporting 69631?
The operative report should identify the membrane perforation and repair, any graft used, and whether mastoidectomy or ossicular chain reconstruction was performed.
How is bilateral surgery reported under the CMS payment rule?
For bilateral procedures reported with modifier 50, CMS pays 150% under the supplied fee schedule rule.
What postoperative care is included?
The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period.
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.
7,62269604,,Revj mstdc rsltg tympanplsty,A,,13.85,13.66,NA,13.66,,2.02,29.53,29.53,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,62369610,,Tympanic membrane repair,A,,4.36,6.46,,2.49,,0.62,11.44,7.47,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,62469620,,Myringoplasty,A,,5.88,15.44,,6.78,,0.87,22.19,13.53,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,62569631,,Repair eardrum structures,A,,9.80,12.69,NA,12.69,,1.44,23.93,23.93,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,62669632,,Rebuild eardrum structures,A,,12.64,14.47,NA,14.47,,1.91,29.02,29.02,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,62769633,,Rebuild eardrum structures,A,,12.00,14.38,NA,14.38,,1.86,28.24,28.24,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,62869635,,Repair eardrum structures,A,,13.17,19.71,NA,19.71,,2.33,35.21,35.21,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,