# CPT 69676: Tympanic neurectomy

Medicare CPT 69676 pays $746.84 in a non-facility setting and $746.84 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $670.42 in Arkansas to $909.34 in Alaska, a 36% spread.

Web page: https://www.med-reveal.com/rates/69676-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $746.84 |
| National facility | $746.84 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $909.34 | $909.34 |
| District of Columbia | $837.69 | $837.69 |
| New York | $822.74 | $822.74 |
| New Jersey | $815.46 | $815.46 |
| California | $808.07 | $808.07 |
| Washington | $801.21 | $801.21 |
| Massachusetts | $796.38 | $796.38 |
| Connecticut | $792.40 | $792.40 |
| Florida | $791.13 | $791.13 |
| Hawaii | $780.57 | $780.57 |
| Illinois | $776.31 | $776.31 |
| Maryland | $770.87 | $770.87 |
| Colorado | $765.37 | $765.37 |
| Rhode Island | $760.67 | $760.67 |
| Oregon | $757.45 | $757.45 |
| New Hampshire | $756.98 | $756.98 |
| Puerto Rico | $750.41 | $750.41 |
| Virgin Islands | $750.41 | $750.41 |
| Montana | $746.75 | $746.75 |
| Pennsylvania | $744.91 | $744.91 |
| Michigan | $741.82 | $741.82 |
| Nevada | $739.64 | $739.64 |
| Texas | $739.37 | $739.37 |
| Delaware | $739.21 | $739.21 |
| Georgia | $738.50 | $738.50 |
| Wyoming | $735.03 | $735.03 |
| Arizona | $728.34 | $728.34 |
| Virginia | $726.93 | $726.93 |
| Minnesota | $726.05 | $726.05 |
| New Mexico | $723.95 | $723.95 |
| Vermont | $720.55 | $720.55 |
| North Dakota | $719.86 | $719.86 |
| Utah | $719.06 | $719.06 |
| South Dakota | $716.68 | $716.68 |
| West Virginia | $715.89 | $715.89 |
| Louisiana | $715.42 | $715.42 |
| Missouri | $714.37 | $714.37 |
| Ohio | $713.64 | $713.64 |
| Maine | $712.71 | $712.71 |
| South Carolina | $710.71 | $710.71 |
| North Carolina | $704.60 | $704.60 |
| Kentucky | $700.16 | $700.16 |
| Wisconsin | $699.21 | $699.21 |
| Oklahoma | $695.44 | $695.44 |
| Indiana | $695.33 | $695.33 |
| Idaho | $692.04 | $692.04 |
| Tennessee | $690.71 | $690.71 |
| Nebraska | $688.88 | $688.88 |
| Kansas | $687.28 | $687.28 |
| Iowa | $686.66 | $686.66 |
| Mississippi | $681.36 | $681.36 |
| Alabama | $678.91 | $678.91 |
| Arkansas | $670.42 | $670.42 |

## 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 69676 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