# CPT 69636: Tympp Antrt/mastoid W/ossicular Chain Recnstj

Medicare CPT 69636 pays $1,289.27 in a non-facility setting and $1,289.27 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,153.16 in Arkansas to $1,554.00 in Alaska, a 35% spread.

Web page: https://www.med-reveal.com/rates/69636-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Otolaryngology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $1,289.27 |
| National facility | $1,289.27 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $1,554.00 | $1,554.00 |
| District of Columbia | $1,451.72 | $1,451.72 |
| New York | $1,421.90 | $1,421.90 |
| New Jersey | $1,411.12 | $1,411.12 |
| California | $1,404.62 | $1,404.62 |
| Washington | $1,389.59 | $1,389.59 |
| Massachusetts | $1,380.30 | $1,380.30 |
| Connecticut | $1,369.64 | $1,369.64 |
| Florida | $1,360.90 | $1,360.90 |
| Hawaii | $1,356.27 | $1,356.27 |
| Illinois | $1,333.58 | $1,333.58 |
| Maryland | $1,331.81 | $1,331.81 |
| Colorado | $1,324.97 | $1,324.97 |
| Rhode Island | $1,314.47 | $1,314.47 |
| Oregon | $1,311.26 | $1,311.26 |
| New Hampshire | $1,309.40 | $1,309.40 |
| Puerto Rico | $1,296.03 | $1,296.03 |
| Virgin Islands | $1,296.03 | $1,296.03 |
| Montana | $1,289.13 | $1,289.13 |
| Pennsylvania | $1,284.21 | $1,284.21 |
| Nevada | $1,277.77 | $1,277.77 |
| Delaware | $1,275.83 | $1,275.83 |
| Texas | $1,275.77 | $1,275.77 |
| Michigan | $1,275.54 | $1,275.54 |
| Georgia | $1,271.57 | $1,271.57 |
| Wyoming | $1,270.26 | $1,270.26 |
| Minnesota | $1,258.48 | $1,258.48 |
| Arizona | $1,256.61 | $1,256.61 |
| Virginia | $1,255.64 | $1,255.64 |
| Vermont | $1,246.00 | $1,246.00 |
| North Dakota | $1,245.82 | $1,245.82 |
| New Mexico | $1,244.73 | $1,244.73 |
| South Dakota | $1,240.70 | $1,240.70 |
| Utah | $1,238.99 | $1,238.99 |
| Louisiana | $1,230.61 | $1,230.61 |
| Maine | $1,230.19 | $1,230.19 |
| Missouri | $1,229.36 | $1,229.36 |
| Ohio | $1,227.76 | $1,227.76 |
| West Virginia | $1,227.30 | $1,227.30 |
| South Carolina | $1,224.06 | $1,224.06 |
| North Carolina | $1,215.05 | $1,215.05 |
| Wisconsin | $1,208.68 | $1,208.68 |
| Kentucky | $1,203.83 | $1,203.83 |
| Indiana | $1,199.57 | $1,199.57 |
| Oklahoma | $1,196.59 | $1,196.59 |
| Idaho | $1,193.62 | $1,193.62 |
| Tennessee | $1,190.45 | $1,190.45 |
| Nebraska | $1,188.82 | $1,188.82 |
| Iowa | $1,184.50 | $1,184.50 |
| Kansas | $1,184.47 | $1,184.47 |
| Mississippi | $1,170.97 | $1,170.97 |
| Alabama | $1,168.31 | $1,168.31 |
| Arkansas | $1,153.16 | $1,153.16 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 69636 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules