# CPT 69642: Tmpp Mastoidectomy W/ossicular Chain Recnstj

Medicare CPT 69642 pays $1,184.73 in a non-facility setting and $1,184.73 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,068.08 in Arkansas to $1,461.64 in Alaska, a 37% spread.

Web page: https://www.med-reveal.com/rates/69642-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Otolaryngology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $1,184.73 |
| National facility | $1,184.73 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $1,461.64 | $1,461.64 |
| District of Columbia | $1,321.46 | $1,321.46 |
| New York | $1,303.61 | $1,303.61 |
| New Jersey | $1,289.10 | $1,289.10 |
| California | $1,267.94 | $1,267.94 |
| Florida | $1,263.39 | $1,263.39 |
| Washington | $1,261.84 | $1,261.84 |
| Massachusetts | $1,255.55 | $1,255.55 |
| Connecticut | $1,255.09 | $1,255.09 |
| Illinois | $1,242.12 | $1,242.12 |
| Hawaii | $1,225.65 | $1,225.65 |
| Maryland | $1,221.54 | $1,221.54 |
| Colorado | $1,208.70 | $1,208.70 |
| Rhode Island | $1,204.61 | $1,204.61 |
| New Hampshire | $1,197.06 | $1,197.06 |
| Oregon | $1,196.06 | $1,196.06 |
| Puerto Rico | $1,189.54 | $1,189.54 |
| Virgin Islands | $1,189.54 | $1,189.54 |
| Montana | $1,184.57 | $1,184.57 |
| Michigan | $1,184.37 | $1,184.37 |
| Pennsylvania | $1,184.09 | $1,184.09 |
| Georgia | $1,176.30 | $1,176.30 |
| Texas | $1,173.52 | $1,173.52 |
| Delaware | $1,172.73 | $1,172.73 |
| Nevada | $1,171.72 | $1,171.72 |
| Wyoming | $1,163.63 | $1,163.63 |
| Arizona | $1,156.05 | $1,156.05 |
| New Mexico | $1,155.55 | $1,155.55 |
| Virginia | $1,151.55 | $1,151.55 |
| West Virginia | $1,147.91 | $1,147.91 |
| Utah | $1,143.56 | $1,143.56 |
| Minnesota | $1,143.49 | $1,143.49 |
| Louisiana | $1,140.86 | $1,140.86 |
| Vermont | $1,139.15 | $1,139.15 |
| Missouri | $1,138.33 | $1,138.33 |
| Ohio | $1,137.69 | $1,137.69 |
| North Dakota | $1,136.52 | $1,136.52 |
| South Carolina | $1,130.90 | $1,130.90 |
| South Dakota | $1,130.84 | $1,130.84 |
| Maine | $1,130.03 | $1,130.03 |
| North Carolina | $1,118.71 | $1,118.71 |
| Kentucky | $1,116.99 | $1,116.99 |
| Oklahoma | $1,107.98 | $1,107.98 |
| Wisconsin | $1,105.54 | $1,105.54 |
| Indiana | $1,103.00 | $1,103.00 |
| Idaho | $1,098.11 | $1,098.11 |
| Tennessee | $1,097.27 | $1,097.27 |
| Nebraska | $1,092.04 | $1,092.04 |
| Kansas | $1,091.85 | $1,091.85 |
| Iowa | $1,089.20 | $1,089.20 |
| Mississippi | $1,087.36 | $1,087.36 |
| Alabama | $1,080.99 | $1,080.99 |
| Arkansas | $1,068.08 | $1,068.08 |

## 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 69642 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