No office rate
Use this code for orbital decompression through a transcranial approach. Code 67414 describes decompression through a lateral orbitotomy.
On this page
CMS RVU26D · Effective 2026-10-01
61330 in Delaware
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1725.41
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Neurosurgery
About 61330: Transcranial orbital decompression
Reports surgical expansion of the orbit through a transcranial route to relieve orbital pressure, such as compression associated with severe proptosis or optic neuropathy.
This procedure relieves pressure within the orbit by removing bone through a cranial approach, creating more space for the orbital contents. It may be performed for severe proptosis or optic nerve compression, including in patients with thyroid-associated orbitopathy. Neurosurgeons and oculoplastic surgeons may perform it in a hospital operating room. The operative report should establish that the route was transcranial and that the work was orbital decompression rather than treatment of an intracranial lesion.
Report the code for the transcranial orbital decompression itself, with documentation of the indication, side, approach, and operative work. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. For bilateral surgery, modifier 50 is paid at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 61330
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU24.67 · 47%
- Practice expense (office) RVU17.70 · 34%
- Malpractice RVU10.43 · 20%
29
Medicare services in 2024 · #5693 by national volume
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.
61330 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
This code targets the orbit. Code 61322 describes cranial decompression without lobectomy, not orbital decompression.
No office rate
This code targets the orbit. Code 61323 describes cranial decompression with lobectomy, not orbital decompression.
The same code, a different location
How does Delaware compare?
61330 across payment areas
Same release and payment basis · bars start at $0
Delaware · This locality
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Delaware appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Alabama
Alabama · 61330
Office
Unavailable
Facility
$1538.47
No comparable office rate is available.
Arkansas
Arkansas · 61330
Office
Unavailable
Facility
$1511.25
No comparable office rate is available.
Arizona
Arizona · 61330
Office
Unavailable
Facility
$1695.07
No comparable office rate is available.
Bakersfield
California · 61330
Office
Unavailable
Facility
$1699.77
No comparable office rate is available.
Chico
California · 61330
Office
Unavailable
Facility
$1672.69
No comparable office rate is available.
El Centro
California · 61330
Office
Unavailable
Facility
$1674.43
No comparable office rate is available.
Fresno
California · 61330
Office
Unavailable
Facility
$1672.69
No comparable office rate is available.
Hanford-Corcoran
California · 61330
Office
Unavailable
Facility
$1672.69
No comparable office rate is available.
Madera
California · 61330
Office
Unavailable
Facility
$1672.69
No comparable office rate is available.
Merced
California · 61330
Office
Unavailable
Facility
$1672.69
No comparable office rate is available.
Modesto
California · 61330
Office
Unavailable
Facility
$1672.69
No comparable office rate is available.
Napa
California · 61330
Office
Unavailable
Facility
$1832.08
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 61330
Office
Unavailable
Facility
$1762.90
No comparable office rate is available.
Redding
California · 61330
Office
Unavailable
Facility
$1672.69
No comparable office rate is available.
Rest Of California
California · 61330
Office
Unavailable
Facility
$1672.69
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 61330
Office
Unavailable
Facility
$1783.94
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 61330
Office
Unavailable
Facility
$1727.95
No comparable office rate is available.
Salinas
California · 61330
Office
Unavailable
Facility
$1721.47
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 61330
Office
Unavailable
Facility
$1744.61
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 61330
Office
Unavailable
Facility
$1895.77
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 61330
Office
Unavailable
Facility
$1883.92
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 61330
Office
Unavailable
Facility
$1953.87
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 61330
Office
Unavailable
Facility
$1905.45
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 61330
Office
Unavailable
Facility
$1698.11
No comparable office rate is available.
Santa Cruz-Watsonville
California · 61330
Office
Unavailable
Facility
$1746.33
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 61330
Office
Unavailable
Facility
$1723.13
No comparable office rate is available.
Santa Rosa-Petaluma
California · 61330
Office
Unavailable
Facility
$1761.44
No comparable office rate is available.
Stockton
California · 61330
Office
Unavailable
Facility
$1672.69
No comparable office rate is available.
Vallejo
California · 61330
Office
Unavailable
Facility
$1815.01
No comparable office rate is available.
Visalia
California · 61330
Office
Unavailable
Facility
$1672.69
No comparable office rate is available.
Yuba City
California · 61330
Office
Unavailable
Facility
$1672.69
No comparable office rate is available.
Colorado
Colorado · 61330
Office
Unavailable
Facility
$1735.00
No comparable office rate is available.
Connecticut
Connecticut · 61330
Office
Unavailable
Facility
$1898.73
No comparable office rate is available.
Fort Lauderdale
Florida · 61330
Office
Unavailable
Facility
$2052.74
No comparable office rate is available.
Rest Of Florida
Florida · 61330
Office
Unavailable
Facility
$1912.79
No comparable office rate is available.
Atlanta
Georgia · 61330
Office
Unavailable
Facility
$1845.52
No comparable office rate is available.
Rest Of Georgia
Georgia · 61330
Office
Unavailable
Facility
$1766.61
No comparable office rate is available.
Hawaii, Guam
Hawaii · 61330
Office
Unavailable
Facility
$1697.90
No comparable office rate is available.
Iowa
Iowa · 61330
Office
Unavailable
Facility
$1503.25
No comparable office rate is available.
Idaho
Idaho · 61330
Office
Unavailable
Facility
$1532.68
No comparable office rate is available.
East St. Louis
Illinois · 61330
Office
Unavailable
Facility
$2069.52
No comparable office rate is available.
Rest Of Illinois
Illinois · 61330
Office
Unavailable
Facility
$1908.27
No comparable office rate is available.
Suburban Chicago
Illinois · 61330
Office
Unavailable
Facility
$2054.24
No comparable office rate is available.
Indiana
Indiana · 61330
Office
Unavailable
Facility
$1541.35
No comparable office rate is available.
Kansas
Kansas · 61330
Office
Unavailable
Facility
$1534.02
No comparable office rate is available.
Kentucky
Kentucky · 61330
Office
Unavailable
Facility
$1668.33
No comparable office rate is available.
New Orleans
Louisiana · 61330
Office
Unavailable
Facility
$1776.07
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 61330
Office
Unavailable
Facility
$1680.95
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 61330
Office
Unavailable
Facility
$1873.72
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 61330
Office
Unavailable
Facility
$1737.37
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 61330
Office
Unavailable
Facility
$1902.47
No comparable office rate is available.
Rest Of Maryland
Maryland · 61330
Office
Unavailable
Facility
$1750.34
No comparable office rate is available.
Rest Of Maine
Maine · 61330
Office
Unavailable
Facility
$1584.59
No comparable office rate is available.
Southern Maine
Maine · 61330
Office
Unavailable
Facility
$1629.70
No comparable office rate is available.
Detroit
Michigan · 61330
Office
Unavailable
Facility
$1981.86
No comparable office rate is available.
Rest Of Michigan
Michigan · 61330
Office
Unavailable
Facility
$1757.07
No comparable office rate is available.
Minnesota
Minnesota · 61330
Office
Unavailable
Facility
$1535.46
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 61330
Office
Unavailable
Facility
$1719.49
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 61330
Office
Unavailable
Facility
$1735.89
No comparable office rate is available.
Rest Of Missouri
Missouri · 61330
Office
Unavailable
Facility
$1672.92
No comparable office rate is available.
Mississippi
Mississippi · 61330
Office
Unavailable
Facility
$1590.47
No comparable office rate is available.
Montana**
Montana · 61330
Office
Unavailable
Facility
$1762.87
No comparable office rate is available.
North Carolina
North Carolina · 61330
Office
Unavailable
Facility
$1598.20
No comparable office rate is available.
North Dakota**
North Dakota · 61330
Office
Unavailable
Facility
$1556.63
No comparable office rate is available.
Nebraska
Nebraska · 61330
Office
Unavailable
Facility
$1501.36
No comparable office rate is available.
New Hampshire
New Hampshire · 61330
Office
Unavailable
Facility
$1744.26
No comparable office rate is available.
Northern Nj
New Jersey · 61330
Office
Unavailable
Facility
$1933.76
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 61330
Office
Unavailable
Facility
$1884.71
No comparable office rate is available.
New Mexico
New Mexico · 61330
Office
Unavailable
Facility
$1784.52
No comparable office rate is available.
Nevada**
Nevada · 61330
Office
Unavailable
Facility
$1705.98
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 61330
Office
Unavailable
Facility
$2226.59
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 61330
Office
Unavailable
Facility
$1929.97
No comparable office rate is available.
Queens
New York · 61330
Office
Unavailable
Facility
$2077.88
No comparable office rate is available.
Rest Of New York
New York · 61330
Office
Unavailable
Facility
$1630.54
No comparable office rate is available.
Ohio
Ohio · 61330
Office
Unavailable
Facility
$1714.92
No comparable office rate is available.
Oklahoma
Oklahoma · 61330
Office
Unavailable
Facility
$1622.62
No comparable office rate is available.
Portland
Oregon · 61330
Office
Unavailable
Facility
$1753.19
No comparable office rate is available.
Rest Of Oregon
Oregon · 61330
Office
Unavailable
Facility
$1657.74
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 61330
Office
Unavailable
Facility
$1869.87
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 61330
Office
Unavailable
Facility
$1695.93
No comparable office rate is available.
Puerto Rico
Puerto Rico · 61330
Office
Unavailable
Facility
$1764.85
No comparable office rate is available.
Rhode Island
Rhode Island · 61330
Office
Unavailable
Facility
$1761.11
No comparable office rate is available.
South Carolina
South Carolina · 61330
Office
Unavailable
Facility
$1666.38
No comparable office rate is available.
South Dakota**
South Dakota · 61330
Office
Unavailable
Facility
$1532.25
No comparable office rate is available.
Tennessee
Tennessee · 61330
Office
Unavailable
Facility
$1548.47
No comparable office rate is available.
Austin
Texas · 61330
Office
Unavailable
Facility
$1759.79
No comparable office rate is available.
Beaumont
Texas · 61330
Office
Unavailable
Facility
$1685.63
No comparable office rate is available.
Brazoria
Texas · 61330
Office
Unavailable
Facility
$1688.20
No comparable office rate is available.
Dallas
Texas · 61330
Office
Unavailable
Facility
$1719.15
No comparable office rate is available.
Fort Worth
Texas · 61330
Office
Unavailable
Facility
$1717.77
No comparable office rate is available.
Galveston
Texas · 61330
Office
Unavailable
Facility
$1706.10
No comparable office rate is available.
Houston
Texas · 61330
Office
Unavailable
Facility
$1897.01
No comparable office rate is available.
Rest Of Texas
Texas · 61330
Office
Unavailable
Facility
$1699.62
No comparable office rate is available.
Utah
Utah · 61330
Office
Unavailable
Facility
$1692.56
No comparable office rate is available.
Virginia
Virginia · 61330
Office
Unavailable
Facility
$1651.10
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 61330
Office
Unavailable
Facility
$1764.85
No comparable office rate is available.
Vermont
Vermont · 61330
Office
Unavailable
Facility
$1585.56
No comparable office rate is available.
Rest Of Washington
Washington · 61330
Office
Unavailable
Facility
$1722.35
No comparable office rate is available.
Seattle (King Cnty)
Washington · 61330
Office
Unavailable
Facility
$1875.22
No comparable office rate is available.
Wisconsin
Wisconsin · 61330
Office
Unavailable
Facility
$1497.66
No comparable office rate is available.
West Virginia
West Virginia · 61330
Office
Unavailable
Facility
$1836.27
No comparable office rate is available.
Wyoming**
Wyoming · 61330
Office
Unavailable
Facility
$1672.99
No comparable office rate is available.
See how rates vary across the country
61330 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 61330 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1897.95
$1725.41 × 110% = $1897.95
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 61330 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
6,768
- Code
- 61330
- Physician work
- 24.67
- Practice expense
- 17.70
- Malpractice
- 10.43
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 24.67 | × 1.005 | 24.7934 |
| Practice expense | 17.70 | × 0.988 | 17.4876 |
| Malpractice | 10.43 | × 0.899 | 9.3766 |
| Total RVUs | 51.6575 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$1725.41
Open 61330 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 24.67 | 1.005 |
| Practice expense | 17.7 | 0.988 |
| Malpractice | 10.43 | 0.899 |
(24.67 × 1.005 + 17.7 × 0.988 + 10.43 × 0.899) × $33.4009 = $1725.41
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
61330 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1725.41 | RVU26D |
| 2026-07-01 | Not available in this setting | $1725.41 | RVU26C |
| 2026-04-01 | Not available in this setting | $1725.41 | RVU26B |
| 2026-01-01 | Not available in this setting | $1725.41 | RVU26A |
| 2025-10-01 | Not available in this setting | $1762.96 | RVU25D |
| 2025-07-01 | Not available in this setting | $1762.96 | RVU25C |
| 2025-04-01 | Not available in this setting | $1762.96 | RVU25B |
| 2025-01-01 | Not available in this setting | $1762.96 | RVU25A |
61330 billing questions
How does this differ from orbital decompression through a lateral orbitotomy?
This code identifies decompression performed through a transcranial route. A lateral orbitotomy code, such as 67414, describes a different surgical approach.
What documentation supports reporting this code?
The operative report should identify the transcranial approach, the orbit decompressed, laterality, the reason for decompression, and the work performed.
How should bilateral decompression be reported?
Report bilateral surgery with modifier 50; CMS pays the bilateral procedure at 150%.
Does the code include postoperative care?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation, while team surgery is not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
6,76561321,,Crnec/crnot drg icr abs ittl,A,,29.77,19.60,NA,19.60,,12.58,61.95,61.95,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,76661322,,Crnec/crnot dcmprv w/o lobec,A,,33.40,21.53,NA,21.53,,14.04,68.97,68.97,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,76761323,,Crnec/crnot dcmprv w/lobec,A,,34.18,20.22,NA,20.22,,14.42,68.82,68.82,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,76861330,,Dcmprn orbit only transcrnl,A,,24.67,17.70,NA,17.70,,10.43,52.80,52.80,0,090,0.11,0.76,0.13,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,76961333,,Expl orbit w/removal lesion,A,,28.54,18.00,NA,18.00,,12.06,58.60,58.60,0,090,0.11,0.76,0.13,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,77061340,,Subtemporal cranial dcmprn,A,,19.61,14.86,NA,14.86,,8.28,42.75,42.75,0,090,0.11,0.76,0.13,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,77161343,,Crnec sopl crv lam dcmprn,A,,31.06,19.43,NA,19.43,,12.75,63.24,63.24,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503