# CPT 69641: Tympanoplasty with mastoidectomy, simple/attic removal

Medicare CPT 69641 pays $928.21 in a non-facility setting and $928.21 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $835.28 in Arkansas to $1,139.42 in Alaska, a 36% spread.

Web page: https://www.med-reveal.com/rates/69641-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Otolaryngology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $928.21 |
| National facility | $928.21 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $1,139.42 | $1,139.42 |
| District of Columbia | $1,037.35 | $1,037.35 |
| New York | $1,021.96 | $1,021.96 |
| New Jersey | $1,011.20 | $1,011.20 |
| California | $996.82 | $996.82 |
| Washington | $990.92 | $990.92 |
| Florida | $988.19 | $988.19 |
| Massachusetts | $985.66 | $985.66 |
| Connecticut | $983.97 | $983.97 |
| Illinois | $970.90 | $970.90 |
| Hawaii | $963.38 | $963.38 |
| Maryland | $957.44 | $957.44 |
| Colorado | $948.30 | $948.30 |
| Rhode Island | $944.25 | $944.25 |
| New Hampshire | $938.80 | $938.80 |
| Oregon | $938.38 | $938.38 |
| Puerto Rico | $932.20 | $932.20 |
| Virgin Islands | $932.20 | $932.20 |
| Montana | $928.09 | $928.09 |
| Pennsylvania | $927.10 | $927.10 |
| Michigan | $926.15 | $926.15 |
| Georgia | $920.45 | $920.45 |
| Texas | $919.21 | $919.21 |
| Delaware | $918.71 | $918.71 |
| Nevada | $918.34 | $918.34 |
| Wyoming | $912.15 | $912.15 |
| Arizona | $905.47 | $905.47 |
| New Mexico | $903.57 | $903.57 |
| Virginia | $902.45 | $902.45 |
| Minnesota | $897.66 | $897.66 |
| West Virginia | $896.34 | $896.34 |
| Utah | $895.11 | $895.11 |
| Vermont | $893.22 | $893.22 |
| Louisiana | $892.27 | $892.27 |
| North Dakota | $891.51 | $891.51 |
| Missouri | $890.48 | $890.48 |
| Ohio | $889.85 | $889.85 |
| South Dakota | $887.18 | $887.18 |
| Maine | $885.26 | $885.26 |
| South Carolina | $885.00 | $885.00 |
| North Carolina | $875.98 | $875.98 |
| Kentucky | $873.39 | $873.39 |
| Wisconsin | $866.70 | $866.70 |
| Oklahoma | $866.65 | $866.65 |
| Indiana | $863.85 | $863.85 |
| Idaho | $859.92 | $859.92 |
| Tennessee | $858.96 | $858.96 |
| Nebraska | $855.39 | $855.39 |
| Kansas | $854.69 | $854.69 |
| Iowa | $852.99 | $852.99 |
| Mississippi | $850.01 | $850.01 |
| Alabama | $845.57 | $845.57 |
| Arkansas | $835.28 | $835.28 |

## Related codes

- 31535: Laryngoscopy, direct, with biopsy — https://www.med-reveal.com/rates/31535-cpt-fee-schedule
- 31570: Laryngoscopy with injection into vocal cord(s) — https://www.med-reveal.com/rates/31570-cpt-fee-schedule
- 31575: Laryngoscopy, flexible, diagnostic — https://www.med-reveal.com/rates/31575-cpt-fee-schedule
- 31578: Laryngoscopy with removal of foreign body — https://www.med-reveal.com/rates/31578-cpt-fee-schedule
- 31590: Laryngeal reinnervation — https://www.med-reveal.com/rates/31590-cpt-fee-schedule
- 42410: Excision of parotid tumor or parotid gland, lateral lobe, without nerve dissection — https://www.med-reveal.com/rates/42410-cpt-fee-schedule
- 42420: Excision of parotid gland, total, with dissection of facial nerve — https://www.med-reveal.com/rates/42420-cpt-fee-schedule
- 42440: Excision of submandibular gland — https://www.med-reveal.com/rates/42440-cpt-fee-schedule

Commercial negotiated rates for 69641 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