No office rate
Choose 67445 for orbital bone removal to decompress. Choose 67414 when the bone-flap or window orbitotomy is performed to remove an orbital lesion.
On this page
CMS RVU26D · Effective 2026-10-01
67445 in Manhattan
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1485.50
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.
Ophthalmic surgery
About 67445: Orbital bone removal for decompression
Report orbital bone removal for decompression when surgery enlarges the orbital space to relieve pressure associated with thyroid eye disease or other orbital conditions.
This operation removes orbital bone to create additional space around the eye and relieve pressure on orbital contents. It is commonly performed by an ophthalmologist, often an oculoplastic or orbital surgeon, for proptosis or optic nerve compression associated with thyroid eye disease. The procedure is generally performed in an operating-room setting; CMS reported facility-setting utilization for this code in 2024.
Report 67445 when the operative service removes orbital bone for decompression, rather than exploring the orbit or removing a lesion. The operative report should identify the indication, side, bone removal, and decompressive purpose. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. With multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 67445
- 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 RVU18.64 · 47%
- Practice expense (office) RVU19.05 · 49%
- Malpractice RVU1.58 · 4%
133
Medicare services in 2024 · #4649 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.
67445 compared with similar codes
Office rates for Manhattan, from the same CMS release.
No office rate
67440 describes lateral orbitotomy for exploration. 67445 is the decompression service involving orbital bone removal.
No office rate
67412 is for orbitotomy with lesion removal through a non-bone-flap approach; 67445 is selected for decompression through bone removal.
The same code, a different location
How does Manhattan compare?
67445 across payment areas
Same release and payment basis · bars start at $0
Manhattan · This locality
Unavailable
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.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in New York 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
Miami
Florida · 67445
Office
Unavailable
Facility
$1418.43
No comparable office rate is available.
Chicago
Illinois · 67445
Office
Unavailable
Facility
$1387.53
No comparable office rate is available.
Alaska*
Alaska · 67445
Office
Unavailable
Facility
$1640.61
No comparable office rate is available.
Alabama
Alabama · 67445
Office
Unavailable
Facility
$1209.21
No comparable office rate is available.
Arkansas
Arkansas · 67445
Office
Unavailable
Facility
$1196.34
No comparable office rate is available.
Arizona
Arizona · 67445
Office
Unavailable
Facility
$1284.33
No comparable office rate is available.
Bakersfield
California · 67445
Office
Unavailable
Facility
$1363.93
No comparable office rate is available.
Chico
California · 67445
Office
Unavailable
Facility
$1358.83
No comparable office rate is available.
El Centro
California · 67445
Office
Unavailable
Facility
$1359.10
No comparable office rate is available.
Fresno
California · 67445
Office
Unavailable
Facility
$1358.83
No comparable office rate is available.
Hanford-Corcoran
California · 67445
Office
Unavailable
Facility
$1358.83
No comparable office rate is available.
Madera
California · 67445
Office
Unavailable
Facility
$1358.83
No comparable office rate is available.
Merced
California · 67445
Office
Unavailable
Facility
$1358.83
No comparable office rate is available.
Modesto
California · 67445
Office
Unavailable
Facility
$1358.83
No comparable office rate is available.
Napa
California · 67445
Office
Unavailable
Facility
$1527.25
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 67445
Office
Unavailable
Facility
$1424.99
No comparable office rate is available.
Redding
California · 67445
Office
Unavailable
Facility
$1358.83
No comparable office rate is available.
Rest Of California
California · 67445
Office
Unavailable
Facility
$1358.83
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 67445
Office
Unavailable
Facility
$1376.19
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 67445
Office
Unavailable
Facility
$1413.29
No comparable office rate is available.
Salinas
California · 67445
Office
Unavailable
Facility
$1407.64
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 67445
Office
Unavailable
Facility
$1430.87
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 67445
Office
Unavailable
Facility
$1603.13
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 67445
Office
Unavailable
Facility
$1601.33
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 67445
Office
Unavailable
Facility
$1636.89
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 67445
Office
Unavailable
Facility
$1629.56
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 67445
Office
Unavailable
Facility
$1386.19
No comparable office rate is available.
Santa Cruz-Watsonville
California · 67445
Office
Unavailable
Facility
$1437.04
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 67445
Office
Unavailable
Facility
$1410.22
No comparable office rate is available.
Santa Rosa-Petaluma
California · 67445
Office
Unavailable
Facility
$1450.92
No comparable office rate is available.
Stockton
California · 67445
Office
Unavailable
Facility
$1358.83
No comparable office rate is available.
Vallejo
California · 67445
Office
Unavailable
Facility
$1524.67
No comparable office rate is available.
Visalia
California · 67445
Office
Unavailable
Facility
$1358.83
No comparable office rate is available.
Yuba City
California · 67445
Office
Unavailable
Facility
$1358.83
No comparable office rate is available.
Colorado
Colorado · 67445
Office
Unavailable
Facility
$1348.29
No comparable office rate is available.
Connecticut
Connecticut · 67445
Office
Unavailable
Facility
$1384.18
No comparable office rate is available.
Delaware
Delaware · 67445
Office
Unavailable
Facility
$1301.80
No comparable office rate is available.
Fort Lauderdale
Florida · 67445
Office
Unavailable
Facility
$1362.57
No comparable office rate is available.
Rest Of Florida
Florida · 67445
Office
Unavailable
Facility
$1310.20
No comparable office rate is available.
Atlanta
Georgia · 67445
Office
Unavailable
Facility
$1334.31
No comparable office rate is available.
Rest Of Georgia
Georgia · 67445
Office
Unavailable
Facility
$1253.07
No comparable office rate is available.
Hawaii, Guam
Hawaii · 67445
Office
Unavailable
Facility
$1376.61
No comparable office rate is available.
Iowa
Iowa · 67445
Office
Unavailable
Facility
$1225.75
No comparable office rate is available.
Idaho
Idaho · 67445
Office
Unavailable
Facility
$1232.94
No comparable office rate is available.
East St. Louis
Illinois · 67445
Office
Unavailable
Facility
$1314.26
No comparable office rate is available.
Rest Of Illinois
Illinois · 67445
Office
Unavailable
Facility
$1286.01
No comparable office rate is available.
Suburban Chicago
Illinois · 67445
Office
Unavailable
Facility
$1373.93
No comparable office rate is available.
Indiana
Indiana · 67445
Office
Unavailable
Facility
$1238.08
No comparable office rate is available.
Kansas
Kansas · 67445
Office
Unavailable
Facility
$1224.39
No comparable office rate is available.
Kentucky
Kentucky · 67445
Office
Unavailable
Facility
$1236.54
No comparable office rate is available.
New Orleans
Louisiana · 67445
Office
Unavailable
Facility
$1281.29
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 67445
Office
Unavailable
Facility
$1236.26
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 67445
Office
Unavailable
Facility
$1454.81
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 67445
Office
Unavailable
Facility
$1344.63
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 67445
Office
Unavailable
Facility
$1380.57
No comparable office rate is available.
Rest Of Maryland
Maryland · 67445
Office
Unavailable
Facility
$1321.19
No comparable office rate is available.
Rest Of Maine
Maine · 67445
Office
Unavailable
Facility
$1240.80
No comparable office rate is available.
Southern Maine
Maine · 67445
Office
Unavailable
Facility
$1286.45
No comparable office rate is available.
Detroit
Michigan · 67445
Office
Unavailable
Facility
$1325.59
No comparable office rate is available.
Rest Of Michigan
Michigan · 67445
Office
Unavailable
Facility
$1263.10
No comparable office rate is available.
Minnesota
Minnesota · 67445
Office
Unavailable
Facility
$1292.95
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 67445
Office
Unavailable
Facility
$1271.63
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 67445
Office
Unavailable
Facility
$1281.22
No comparable office rate is available.
Rest Of Missouri
Missouri · 67445
Office
Unavailable
Facility
$1222.47
No comparable office rate is available.
Mississippi
Mississippi · 67445
Office
Unavailable
Facility
$1209.44
No comparable office rate is available.
Montana**
Montana · 67445
Office
Unavailable
Facility
$1311.55
No comparable office rate is available.
North Carolina
North Carolina · 67445
Office
Unavailable
Facility
$1249.97
No comparable office rate is available.
North Dakota**
North Dakota · 67445
Office
Unavailable
Facility
$1280.31
No comparable office rate is available.
Nebraska
Nebraska · 67445
Office
Unavailable
Facility
$1229.83
No comparable office rate is available.
New Hampshire
New Hampshire · 67445
Office
Unavailable
Facility
$1331.14
No comparable office rate is available.
Northern Nj
New Jersey · 67445
Office
Unavailable
Facility
$1456.27
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 67445
Office
Unavailable
Facility
$1400.21
No comparable office rate is available.
New Mexico
New Mexico · 67445
Office
Unavailable
Facility
$1269.45
No comparable office rate is available.
Nevada**
Nevada · 67445
Office
Unavailable
Facility
$1303.48
No comparable office rate is available.
Ohio
Ohio · 67445
Office
Unavailable
Facility
$1256.72
No comparable office rate is available.
Oklahoma
Oklahoma · 67445
Office
Unavailable
Facility
$1231.80
No comparable office rate is available.
Portland
Oregon · 67445
Office
Unavailable
Facility
$1378.73
No comparable office rate is available.
Rest Of Oregon
Oregon · 67445
Office
Unavailable
Facility
$1293.43
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 67445
Office
Unavailable
Facility
$1359.13
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 67445
Office
Unavailable
Facility
$1256.58
No comparable office rate is available.
Puerto Rico
Puerto Rico · 67445
Office
Unavailable
Facility
$1317.86
No comparable office rate is available.
Rhode Island
Rhode Island · 67445
Office
Unavailable
Facility
$1338.78
No comparable office rate is available.
South Carolina
South Carolina · 67445
Office
Unavailable
Facility
$1255.38
No comparable office rate is available.
South Dakota**
South Dakota · 67445
Office
Unavailable
Facility
$1276.61
No comparable office rate is available.
Tennessee
Tennessee · 67445
Office
Unavailable
Facility
$1229.32
No comparable office rate is available.
Austin
Texas · 67445
Office
Unavailable
Facility
$1343.79
No comparable office rate is available.
Beaumont
Texas · 67445
Office
Unavailable
Facility
$1250.64
No comparable office rate is available.
Brazoria
Texas · 67445
Office
Unavailable
Facility
$1299.30
No comparable office rate is available.
Dallas
Texas · 67445
Office
Unavailable
Facility
$1307.22
No comparable office rate is available.
Fort Worth
Texas · 67445
Office
Unavailable
Facility
$1301.54
No comparable office rate is available.
Galveston
Texas · 67445
Office
Unavailable
Facility
$1303.10
No comparable office rate is available.
Houston
Texas · 67445
Office
Unavailable
Facility
$1332.02
No comparable office rate is available.
Rest Of Texas
Texas · 67445
Office
Unavailable
Facility
$1274.08
No comparable office rate is available.
Utah
Utah · 67445
Office
Unavailable
Facility
$1268.09
No comparable office rate is available.
Virginia
Virginia · 67445
Office
Unavailable
Facility
$1285.32
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 67445
Office
Unavailable
Facility
$1317.86
No comparable office rate is available.
Vermont
Vermont · 67445
Office
Unavailable
Facility
$1279.22
No comparable office rate is available.
Rest Of Washington
Washington · 67445
Office
Unavailable
Facility
$1340.86
No comparable office rate is available.
Seattle (King Cnty)
Washington · 67445
Office
Unavailable
Facility
$1477.56
No comparable office rate is available.
Wisconsin
Wisconsin · 67445
Office
Unavailable
Facility
$1248.41
No comparable office rate is available.
West Virginia
West Virginia · 67445
Office
Unavailable
Facility
$1251.05
No comparable office rate is available.
Wyoming**
Wyoming · 67445
Office
Unavailable
Facility
$1297.93
No comparable office rate is available.
See how rates vary across the country
67445 · 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?
Manhattan is a Medicare payment area. Our Census mapping connects it to 1 cities and communities in New York, 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.
- 67445 in New York
Multiple payment areas
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 67445 in Manhattan. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1634.05
$1485.50 × 110% = $1634.05
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 67445 in Manhattan.
PPRRVU2026_Oct_nonQPP.csv
7,477
- Code
- 67445
- Physician work
- 18.64
- Practice expense
- 19.05
- Malpractice
- 1.58
GPCI2026.csv
78
- Locality
- Manhattan
- Physician work
- 1.064
- Practice expense
- 1.162
- Malpractice
- 1.586
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 18.64 | × 1.064 | 19.8330 |
| Practice expense | 19.05 | × 1.162 | 22.1361 |
| Malpractice | 1.58 | × 1.586 | 2.5059 |
| Total RVUs | 44.4749 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Manhattan$1485.50
Open 67445 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 18.64 | 1.064 |
| Practice expense | 19.05 | 1.162 |
| Malpractice | 1.58 | 1.586 |
(18.64 × 1.064 + 19.05 × 1.162 + 1.58 × 1.586) × $33.4009 = $1485.50
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
67445 · 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 | $1485.50 | RVU26D |
| 2026-07-01 | Not available in this setting | $1485.50 | RVU26C |
| 2026-04-01 | Not available in this setting | $1485.50 | RVU26B |
| 2026-01-01 | Not available in this setting | $1485.50 | RVU26A |
| 2025-10-01 | Not available in this setting | $1660.75 | RVU25D |
| 2025-07-01 | Not available in this setting | $1660.75 | RVU25C |
| 2025-04-01 | Not available in this setting | $1660.75 | RVU25B |
| 2025-01-01 | Not available in this setting | $1660.75 | RVU25A |
67445 billing questions
How is 67445 different from orbital exploration or lesion removal?
Use 67445 when orbital bone is removed to decompress the orbit. Exploration or removal of an orbital lesion describes a different operative purpose.
What should the operative report document?
Document the clinical reason for decompression, the side treated, the bone removal performed, and how the work relieved pressure in the orbit.
How is bilateral decompression reported?
When both orbits are treated, report modifier 50; CMS pays bilateral procedures at 150%.
How does the 90-day global period affect follow-up?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeons are paid only when supporting documentation is provided.
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.
7,47467420,,Explore/treat eye socket,A,,21.32,21.66,NA,21.66,,2.05,45.03,45.03,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,47567430,,Explore/treat eye socket,A,,14.91,20.20,NA,20.20,,1.20,36.31,36.31,0,090,0.10,0.70,0.20,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,47667440,,Explore/drain eye socket,A,,14.47,19.58,NA,19.58,,1.16,35.21,35.21,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,47767445,,Explr/decompress eye socket,A,,18.64,19.05,NA,19.05,,1.58,39.27,39.27,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,47867450,,Explore/biopsy eye socket,A,,15.02,20.24,NA,20.24,,1.21,36.47,36.47,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,47967500,,Inject/treat eye socket,A,,1.15,1.13,,0.42,,0.08,2.36,1.65,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,48067505,,Inject/treat eye socket,A,,1.15,1.31,,0.51,,0.08,2.54,1.74,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068
7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097
7704212,NM,05,NEW MEXICO,1.000,0.917,1.201
7813202,NY,01,MANHATTAN,1.064,1.162,1.586
7913202,NY,02,NYC SUBURBS/LONG ISLAND,1.064,1.189,1.857
8013202,NY,03,POUGHKPSIE/N NYC SUBURBS,1.045,1.095,1.210
8113292,NY,04,QUEENS,1.064,1.182,1.442