69635 Repair eardrum structures
Also known as: ossicular replacement prosthesis, ORP placement, prosthetic ossiculoplasty
Ossicular chain reconstruction with ossicular replacement prosthesis (ORP) that bridges from tympanic membrane to oval window or footplate.
In Plain Language
using a prosthetic device to rebuild ear bones
Clinical Context
Used when insufficient bone/cartilage autograft available or revision cases. Maintains sound transmission despite absent ossicles.
RVU Breakdown
| Work RVU | 13.17 |
| Total RVU | 13.17 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 13.17, this code ranks in the 68th percentile among Surgery codes — 1.6x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 69635?
CPT 69635 (Repair eardrum structures) is a Surgery code. Ossicular chain reconstruction with ossicular replacement prosthesis (ORP) that bridges from tympanic membrane to oval window or footplate.
What is the wRVU value for CPT 69635?
The work RVU for CPT 69635 is 13.17. This code is primarily used by otolaryngology, surgical otology. It has a 90-day global period.
When is CPT 69635 used?
Used when insufficient bone/cartilage autograft available or revision cases. Maintains sound transmission despite absent ossicles.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.