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See a sample rate comparisonCPT 69436 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Procedure To Place Ear Tubes, A Procedure To Implant Tubes Into The Ears In Order To Balance Eardrum Pressure Or Treat Frequent Ear Infections.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Auditory System |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 50 - Bilateral Procedure RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 69436 |
| Medicaid Fee Schedule | View Medicaid rates for 69436 |
National average reimbursement for CPT 69436 by major payers:
$215.18
$208.37
$231.82
$264.42
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CPT 69436
5 of 25 sample ratesHigher to lower in this preview
Matthew Ryan
$432.57Published rateJames Albright
Texas Childrens Physician Group
$282.10Published ratePalmila Liu
Texas Ear Nose Throat Specialists LLP
$194.02Published rateMaureen Mcgeehan
Maureen Mcgeehan Md PA
$161.67Published rateBen Westbrook Ent
$122.04Published rate
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See a sample payer proposalCPT 69436 vs. Other Surgical Procedures on the Auditory System Codes
The CPT 69436 code is part of the Surgery services used for Surgical Procedures on the Auditory System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 69436 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 69421-CPT | Moderate | Myringotomy Inclu Aspirat &/Or Eustachian Tube Inflation Requ, Myringotomy Including Aspiration And/Or Eustachian Tube Inflation Requ |
| 69433-CPT | Moderate | Procedure To Place Ear Tubes, A Procedure To Implant Tubes Into The Ears In Order To Balance Eardrum Pressure Or Treat Frequent Ear Infections. |
| 69436-CPT | Moderate | Procedure To Place Ear Tubes, A Procedure To Implant Tubes Into The Ears In Order To Balance Eardrum Pressure Or Treat Frequent Ear Infections. |
| 69450-CPT | Moderate | Tympanolysis Transcanal |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 69436. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 69436 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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