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See a sample rate comparisonCPT 69637 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Rebuild Eardrum Structures, Tympanoplasty With Antrotomy Or Mastoidotomy Including Canalplasty Atticotomy Middle Ear Surgery And Or Tympanic Membrane Repair With Ossicular Chain Reconstruction And Synthetic Prosthesis Eg Partial Ossicular Replacement Prosthesis Porp Total Ossicular Replacement Prosthesis Torp
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Auditory System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 69637 |
| Medicaid Fee Schedule | View Medicaid rates for 69637 |
National average reimbursement for CPT 69637 by major payers:
$1,925.93
$1,774.77
$1,891.23
$2,283.61
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CPT 69637
5 of 25 sample ratesHigher to lower in this preview
Lake Spivey Ambulatory Surgery Care, LLC, Spivey Station Surgery Center
Emory University
$8,055.00Published rateDay Surgery Limited Liability
Day Surgery LLC
$4,475.00Published rateNational Surgical Centers Of America LLC, Nscoa The Villages
National Surgical Centers Of America LLC
$1,725.00Published rateInsight Surgery & Laser Center, LLC
Insight Surgery Laser Center LLC
$1,150.00Published rateOptumcare Colorado Asc, LLC, Colorado Springs Health Partners Asc, LLC
$863.00Published rate
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See a sample payer proposalCPT 69637 vs. Other Surgical Procedures on the Auditory System Codes
The CPT 69637 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 69637 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 |
|---|---|---|
| 69633-CPT | High | Rebuild Eardrum Structures, Tympanoplasty Without Mastoidectomy Including Canalplasty Atticotomy And Or Middle Ear Surgery Initial Or Revision With Ossicular Chain Reconstruction And Synthetic Prosthesis Eg Partial Ossicular Replacement Prosthesis Porp Total Ossicular Replacement Prosthesis Torp |
| 69636-CPT | High | Eardrum And Middle Ear Surgery, Surgery To Repair The Eardrum And Reconstruct The Chain Of Middle Ear Bones That Transmit Sound (Ossicular Chain). The Procedure May Involve The Use Of A Full Or Partial Prosthesis For The Ossicular Chain. |
| 69637-CPT | High | Rebuild Eardrum Structures, Tympanoplasty With Antrotomy Or Mastoidotomy Including Canalplasty Atticotomy Middle Ear Surgery And Or Tympanic Membrane Repair With Ossicular Chain Reconstruction And Synthetic Prosthesis Eg Partial Ossicular Replacement Prosthesis Porp Total Ossicular Replacement Prosthesis Torp |
| 69660-CPT | High | Surgery On The Middle Ear, Surgery On The Middle Ear To Remove One Of The Bones (Stapes Bone) And Replace It With A Prothesis (Man-Made) So That Sound Is Transmitted. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 69637. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 69637 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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