2025 CPT code 69620

Myringoplasty (surgery confined to drumhead and donor area).

The code 69620 is specific to repairs confined to the drumhead and donor area. More complex repairs involving other middle ear structures would be coded differently (e.g., tympanoplasty codes).

Modifiers may be applicable, such as -50 (bilateral procedure) if performed on both ears, -22 (increased procedural services) for unusually complex cases, or other modifiers as appropriate.

Medical necessity for myringoplasty is established by documenting persistent eardrum perforation despite conservative treatment, recurrent ear infections, significant hearing loss, or interference with daily activities due to the perforation.

The surgeon performs the procedure under general or local anesthesia.They prepare the edges of the eardrum perforation, harvest the graft material, and place it under the eardrum to cover the hole.Post-operative care includes packing the ear canal with dressing, applying a bandage if needed, and prescribing antibiotics.

IMPORTANT For other tympanic membrane repair procedures, see 69631-69646 (Tympanoplasty), and 69610 (Tympanic membrane repair with or without site preparation, with or without patch).

In simple words: This is a surgery to fix a hole in your eardrum.The doctor takes a small piece of tissue, called a graft, from another area near your ear and uses it to patch the hole.This helps prevent infections and can improve hearing.

Surgical repair of the tympanic membrane (eardrum) perforation, using a graft.The procedure is limited to the drumhead and the donor area for the graft material.This may involve taking fascia or other suitable tissue from a nearby site.The surgeon uses a microscope or endoscope for visualization.

Example 1: A child with a persistent eardrum perforation due to recurrent ear infections undergoes myringoplasty to prevent further infections and improve hearing., An adult ruptures their eardrum after a head injury.After conservative treatment fails, they have a myringoplasty to repair the hole., A swimmer with a perforated eardrum that prevents them from participating in water sports undergoes myringoplasty to close the perforation so they can return to swimming.

Documentation should include the size and location of the perforation, history of ear infections or trauma, previous treatments, hearing assessment, operative report detailing the graft material used and surgical technique, and post-operative instructions.

  • Revenue Code: P5E (AMBULATORY PROCEDURES - OTHER)
  • Specialties:Otolaryngology
  • Place of Service:Ambulatory Surgical Center, Hospital, Physician's Office, or other outpatient setting.
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