CPT code 67599: Unlisted orbit procedure, no dedicated CPT code2026 Medicare rate & RVUs in New Mexico

CMS doesn’t publish a rate for 67599 in New Mexico.

Check a contract rate as a % of Medicare · 67599 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 67599 covers

This code identifies a procedure involving the orbit for which no dedicated CPT code describes the service. It is selected based on the procedure performed, rather than simply because care involves the eye socket. Listed orbital procedures include implant insertion, implant revision, and optic nerve decompression; those specific services should be reported with their dedicated codes when they accurately describe the work. This code is for a different orbital procedure that lacks a matching listed code.

For Medicare physician fee schedule purposes, status C means CMS publishes no national payment amount and the Medicare Administrative Contractor sets payment for each claim. The contractor also determines the global period. In a session with multiple procedures, the highest-valued procedure is paid in full and the others at 50%; a bilateral procedure reported with modifier 50 is paid at 150%.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How New Mexico compares for 67599

Every other payment area

67599 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 67599 in every payment locality

How the 67599 rate is calculated

Each of 67599’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 67599

The CMS indicators that decide how 67599 is paid alongside other services.

What modifiers do to the payment

When to use modifier 50

Codes related to 67599

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 67599 has changed in New Mexico

Price 67599 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

• Abeytas
• Abiquiu
• Acomita Lake
• Adelino
• Agua Fria
• Alamillo
• Alamo
• Alamogordo

Browse all communities in New Mexico

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates