69643 Revise middle ear & mastoid
Also known as: revision canal wall down, revision modified radical, revision CWD
Revision of middle ear and mastoid with modified radical approach, converting canal wall up to canal wall down due to recurrent disease or failed reconstruction.
In Plain Language
redo surgery converting to canal wall down approach
Clinical Context
Used when canal wall up revision fails or disease recurrence high-risk. Requires canal wall removal to control cholesteatoma.
RVU Breakdown
| Work RVU | 15.20 |
| Total RVU | 15.20 |
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 15.20, this code ranks in the 73rd percentile among Surgery codes — 1.9x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 69643?
CPT 69643 (Revise middle ear & mastoid) is a Surgery code. Revision of middle ear and mastoid with modified radical approach, converting canal wall up to canal wall down due to recurrent disease or failed reconstruction.
What is the wRVU value for CPT 69643?
The work RVU for CPT 69643 is 15.20. This code is primarily used by otolaryngology, surgical otology, neurotology. It has a 90-day global period.
When is CPT 69643 used?
Used when canal wall up revision fails or disease recurrence high-risk. Requires canal wall removal to control cholesteatoma.
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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.