69644 Revise middle ear & mastoid
Also known as: revision canal wall up reconstruction, canal wall reconstruction revision
Revision of middle ear and mastoid with intact canal wall reconstruction, re-attempting to preserve external auditory canal after previous canal wall down.
In Plain Language
redo surgery restoring the ear canal
Clinical Context
Used for canal wall reconstruction after previous canal wall down when disease-free interval established, typically 6-12 months.
RVU Breakdown
| Work RVU | 16.80 |
| Total RVU | 16.80 |
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 16.80, this code ranks in the 77th percentile among Surgery codes — 2.1x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 69644?
CPT 69644 (Revise middle ear & mastoid) is a Surgery code. Revision of middle ear and mastoid with intact canal wall reconstruction, re-attempting to preserve external auditory canal after previous canal wall down.
What is the wRVU value for CPT 69644?
The work RVU for CPT 69644 is 16.80. This code is primarily used by otolaryngology, surgical otology. It has a 90-day global period.
When is CPT 69644 used?
Used for canal wall reconstruction after previous canal wall down when disease-free interval established, typically 6-12 months.
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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.