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CPT 69632: Tympanic Membrane Repair with Ossicular Reconstruction
CPT code 69632 denotes tympanoplasty with ossicular chain reconstruction — a middle ear operation to repair a perforated tympanic membrane and restore conductive hearing. The combination of eardrum repair and ossicular reconstruction addresses both the barrier defect and mechanical transmission impairment, making it a clinically significant procedure for patients with chronic perforations, recurrent infections, or conductive hearing loss. Nationwide, this surgical code is relevant to otolaryngology practice patterns, surgical resource use, and payer coverage policies for ear reconstruction.
Key payers included in this analysis are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The publication provides a concise overview of billing considerations and payer coverage patterns for hospitals and ambulatory surgical centers performing middle ear reconstructive surgery.
Readers will learn what CPT code 69632 represents in clinical terms, typical sites of service, and why the procedure matters for auditory outcomes. The report also summarizes common billing modifiers and highlights areas where payers commonly apply prior authorization or coverage criteria. Data not available in the input for specific denial rates, fee benchmarks, or associated ICD-10 diagnoses is noted where applicable.
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Billing Code Overview
CPT code 69632 describes a surgical procedure in which the provider reconstructs the tympanic membrane (eardrum) to repair a perforation and reconstructs the ossicular chain to improve conductive hearing. The procedure may include reconstruction of the ear canal, an incision into the tympanic attic, and other middle ear surgeries. The service explicitly excludes removal of the mastoid cavity.
Service type: Middle ear reconstructive surgery (tympanoplasty with ossiculoplasty)
Typical site of service: Hospital outpatient surgical suite or ambulatory surgical center; may also occur in inpatient surgical settings depending on clinical complexity.