No office rate
Code 61330 describes transcranial orbital decompression. This code is for cranial or orbital exploration that removes an orbital lesion.
On this page
CMS RVU26D · Effective 2026-10-01
61333 in Ohio
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1908.21
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 61333: Cranial orbital lesion removal
Reports cranial or orbital exploration to remove an orbital lesion, rather than orbital decompression alone, during a major surgical procedure.
This code covers cranial or orbital exploration performed to remove a lesion in the orbit. It is distinct from an operation that only decompresses the orbit. A neurosurgeon, often working with an ophthalmic or oculoplastic surgeon, may perform the operation in a hospital or other surgical facility when the lesion is approached through a cranial route. The operative report should identify the orbital target and describe its removal and the approach used.
Report the service for the lesion-removal work, not for exploration or decompression alone. Documentation should establish the lesion’s orbital location, the surgical approach, and what was removed. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral reporting with modifier 50, payment is at 150%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 61333
- 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 RVU28.54 · 49%
- Practice expense (office) RVU18.00 · 31%
- Malpractice RVU12.06 · 21%
15
Medicare services in 2024 · #6078 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.
61333 compared with similar codes
Office rates for Ohio, from the same CMS release.
No office rate
Code 67412 covers orbital lesion removal through an orbitotomy without a bone flap. Choose based on the documented approach, not simply the lesion’s location.
No office rate
Code 67440 describes lesion removal through a lateral orbitotomy with a bone flap or window; this code represents a cranial exploration approach.
The same code, a different location
How does Ohio compare?
61333 across payment areas
Same release and payment basis · bars start at $0
Ohio · 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 Ohio 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 · 61333
Office
Unavailable
Facility
$1707.32
No comparable office rate is available.
Arkansas
Arkansas · 61333
Office
Unavailable
Facility
$1677.16
No comparable office rate is available.
Arizona
Arizona · 61333
Office
Unavailable
Facility
$1880.65
No comparable office rate is available.
Bakersfield
California · 61333
Office
Unavailable
Facility
$1875.62
No comparable office rate is available.
Chico
California · 61333
Office
Unavailable
Facility
$1844.31
No comparable office rate is available.
El Centro
California · 61333
Office
Unavailable
Facility
$1846.32
No comparable office rate is available.
Fresno
California · 61333
Office
Unavailable
Facility
$1844.31
No comparable office rate is available.
Hanford-Corcoran
California · 61333
Office
Unavailable
Facility
$1844.31
No comparable office rate is available.
Madera
California · 61333
Office
Unavailable
Facility
$1844.31
No comparable office rate is available.
Merced
California · 61333
Office
Unavailable
Facility
$1844.31
No comparable office rate is available.
Modesto
California · 61333
Office
Unavailable
Facility
$1844.31
No comparable office rate is available.
Napa
California · 61333
Office
Unavailable
Facility
$2010.35
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 61333
Office
Unavailable
Facility
$1941.54
No comparable office rate is available.
Redding
California · 61333
Office
Unavailable
Facility
$1844.31
No comparable office rate is available.
Rest Of California
California · 61333
Office
Unavailable
Facility
$1844.31
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 61333
Office
Unavailable
Facility
$1972.95
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 61333
Office
Unavailable
Facility
$1902.70
No comparable office rate is available.
Salinas
California · 61333
Office
Unavailable
Facility
$1895.53
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 61333
Office
Unavailable
Facility
$1919.24
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 61333
Office
Unavailable
Facility
$2076.43
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 61333
Office
Unavailable
Facility
$2062.73
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 61333
Office
Unavailable
Facility
$2140.98
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 61333
Office
Unavailable
Facility
$2084.99
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 61333
Office
Unavailable
Facility
$1870.16
No comparable office rate is available.
Santa Cruz-Watsonville
California · 61333
Office
Unavailable
Facility
$1919.67
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 61333
Office
Unavailable
Facility
$1896.88
No comparable office rate is available.
Santa Rosa-Petaluma
California · 61333
Office
Unavailable
Facility
$1936.06
No comparable office rate is available.
Stockton
California · 61333
Office
Unavailable
Facility
$1844.31
No comparable office rate is available.
Vallejo
California · 61333
Office
Unavailable
Facility
$1990.61
No comparable office rate is available.
Visalia
California · 61333
Office
Unavailable
Facility
$1844.31
No comparable office rate is available.
Yuba City
California · 61333
Office
Unavailable
Facility
$1844.31
No comparable office rate is available.
Colorado
Colorado · 61333
Office
Unavailable
Facility
$1918.99
No comparable office rate is available.
Connecticut
Connecticut · 61333
Office
Unavailable
Facility
$2107.24
No comparable office rate is available.
Delaware
Delaware · 61333
Office
Unavailable
Facility
$1914.16
No comparable office rate is available.
Fort Lauderdale
Florida · 61333
Office
Unavailable
Facility
$2290.58
No comparable office rate is available.
Rest Of Florida
Florida · 61333
Office
Unavailable
Facility
$2133.46
No comparable office rate is available.
Atlanta
Georgia · 61333
Office
Unavailable
Facility
$2050.74
No comparable office rate is available.
Rest Of Georgia
Georgia · 61333
Office
Unavailable
Facility
$1969.70
No comparable office rate is available.
Hawaii, Guam
Hawaii · 61333
Office
Unavailable
Facility
$1870.07
No comparable office rate is available.
Iowa
Iowa · 61333
Office
Unavailable
Facility
$1663.29
No comparable office rate is available.
Idaho
Idaho · 61333
Office
Unavailable
Facility
$1696.91
No comparable office rate is available.
East St. Louis
Illinois · 61333
Office
Unavailable
Facility
$2317.65
No comparable office rate is available.
Rest Of Illinois
Illinois · 61333
Office
Unavailable
Facility
$2131.77
No comparable office rate is available.
Suburban Chicago
Illinois · 61333
Office
Unavailable
Facility
$2291.17
No comparable office rate is available.
Indiana
Indiana · 61333
Office
Unavailable
Facility
$1706.36
No comparable office rate is available.
Kansas
Kansas · 61333
Office
Unavailable
Facility
$1699.78
No comparable office rate is available.
Kentucky
Kentucky · 61333
Office
Unavailable
Facility
$1856.32
No comparable office rate is available.
New Orleans
Louisiana · 61333
Office
Unavailable
Facility
$1976.60
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 61333
Office
Unavailable
Facility
$1871.23
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 61333
Office
Unavailable
Facility
$2068.70
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 61333
Office
Unavailable
Facility
$1922.64
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 61333
Office
Unavailable
Facility
$2111.90
No comparable office rate is available.
Rest Of Maryland
Maryland · 61333
Office
Unavailable
Facility
$1941.01
No comparable office rate is available.
Rest Of Maine
Maine · 61333
Office
Unavailable
Facility
$1756.93
No comparable office rate is available.
Southern Maine
Maine · 61333
Office
Unavailable
Facility
$1803.24
No comparable office rate is available.
Detroit
Michigan · 61333
Office
Unavailable
Facility
$2212.58
No comparable office rate is available.
Rest Of Michigan
Michigan · 61333
Office
Unavailable
Facility
$1956.95
No comparable office rate is available.
Minnesota
Minnesota · 61333
Office
Unavailable
Facility
$1691.15
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 61333
Office
Unavailable
Facility
$1911.35
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 61333
Office
Unavailable
Facility
$1929.24
No comparable office rate is available.
Rest Of Missouri
Missouri · 61333
Office
Unavailable
Facility
$1863.85
No comparable office rate is available.
Mississippi
Mississippi · 61333
Office
Unavailable
Facility
$1768.59
No comparable office rate is available.
Montana**
Montana · 61333
Office
Unavailable
Facility
$1956.49
No comparable office rate is available.
North Carolina
North Carolina · 61333
Office
Unavailable
Facility
$1771.60
No comparable office rate is available.
North Dakota**
North Dakota · 61333
Office
Unavailable
Facility
$1718.02
No comparable office rate is available.
Nebraska
Nebraska · 61333
Office
Unavailable
Facility
$1660.45
No comparable office rate is available.
New Hampshire
New Hampshire · 61333
Office
Unavailable
Facility
$1931.59
No comparable office rate is available.
Northern Nj
New Jersey · 61333
Office
Unavailable
Facility
$2140.93
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 61333
Office
Unavailable
Facility
$2089.81
No comparable office rate is available.
New Mexico
New Mexico · 61333
Office
Unavailable
Facility
$1988.36
No comparable office rate is available.
Nevada**
Nevada · 61333
Office
Unavailable
Facility
$1890.62
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 61333
Office
Unavailable
Facility
$2477.14
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 61333
Office
Unavailable
Facility
$2141.90
No comparable office rate is available.
Queens
New York · 61333
Office
Unavailable
Facility
$2305.77
No comparable office rate is available.
Rest Of New York
New York · 61333
Office
Unavailable
Facility
$1807.60
No comparable office rate is available.
Oklahoma
Oklahoma · 61333
Office
Unavailable
Facility
$1803.13
No comparable office rate is available.
Portland
Oregon · 61333
Office
Unavailable
Facility
$1936.16
No comparable office rate is available.
Rest Of Oregon
Oregon · 61333
Office
Unavailable
Facility
$1835.25
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 61333
Office
Unavailable
Facility
$2076.84
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 61333
Office
Unavailable
Facility
$1885.84
No comparable office rate is available.
Puerto Rico
Puerto Rico · 61333
Office
Unavailable
Facility
$1957.86
No comparable office rate is available.
Rhode Island
Rhode Island · 61333
Office
Unavailable
Facility
$1951.74
No comparable office rate is available.
South Carolina
South Carolina · 61333
Office
Unavailable
Facility
$1851.18
No comparable office rate is available.
South Dakota**
South Dakota · 61333
Office
Unavailable
Facility
$1689.82
No comparable office rate is available.
Tennessee
Tennessee · 61333
Office
Unavailable
Facility
$1716.08
No comparable office rate is available.
Austin
Texas · 61333
Office
Unavailable
Facility
$1948.15
No comparable office rate is available.
Beaumont
Texas · 61333
Office
Unavailable
Facility
$1874.58
No comparable office rate is available.
Brazoria
Texas · 61333
Office
Unavailable
Facility
$1870.89
No comparable office rate is available.
Dallas
Texas · 61333
Office
Unavailable
Facility
$1906.27
No comparable office rate is available.
Fort Worth
Texas · 61333
Office
Unavailable
Facility
$1905.49
No comparable office rate is available.
Galveston
Texas · 61333
Office
Unavailable
Facility
$1891.43
No comparable office rate is available.
Houston
Texas · 61333
Office
Unavailable
Facility
$2112.17
No comparable office rate is available.
Rest Of Texas
Texas · 61333
Office
Unavailable
Facility
$1887.56
No comparable office rate is available.
Utah
Utah · 61333
Office
Unavailable
Facility
$1880.13
No comparable office rate is available.
Virginia
Virginia · 61333
Office
Unavailable
Facility
$1828.64
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 61333
Office
Unavailable
Facility
$1957.86
No comparable office rate is available.
Vermont
Vermont · 61333
Office
Unavailable
Facility
$1752.29
No comparable office rate is available.
Rest Of Washington
Washington · 61333
Office
Unavailable
Facility
$1905.28
No comparable office rate is available.
Seattle (King Cnty)
Washington · 61333
Office
Unavailable
Facility
$2067.72
No comparable office rate is available.
Wisconsin
Wisconsin · 61333
Office
Unavailable
Facility
$1653.29
No comparable office rate is available.
West Virginia
West Virginia · 61333
Office
Unavailable
Facility
$2052.15
No comparable office rate is available.
Wyoming**
Wyoming · 61333
Office
Unavailable
Facility
$1852.56
No comparable office rate is available.
See how rates vary across the country
61333 · 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?
Ohio is a Medicare payment area. Our Census mapping connects it to 1265 cities and communities in Ohio, 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 61333 in Ohio. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$2099.03
$1908.21 × 110% = $2099.03
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 61333 in Ohio.
PPRRVU2026_Oct_nonQPP.csv
6,769
- Code
- 61333
- Physician work
- 28.54
- Practice expense
- 18.00
- Malpractice
- 12.06
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 28.54 | × 1.000 | 28.5400 |
| Practice expense | 18.00 | × 0.913 | 16.4340 |
| Malpractice | 12.06 | × 1.008 | 12.1565 |
| Total RVUs | 57.1305 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Ohio$1908.21
Open 61333 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 28.54 | 1 |
| Practice expense | 18 | 0.913 |
| Malpractice | 12.06 | 1.008 |
(28.54 × 1 + 18 × 0.913 + 12.06 × 1.008) × $33.4009 = $1908.21
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
61333 · 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 | $1908.21 | RVU26D |
| 2026-07-01 | Not available in this setting | $1908.21 | RVU26C |
| 2026-04-01 | Not available in this setting | $1908.21 | RVU26B |
| 2026-01-01 | Not available in this setting | $1908.21 | RVU26A |
| 2025-10-01 | Not available in this setting | $1948.16 | RVU25D |
| 2025-07-01 | Not available in this setting | $1948.16 | RVU25C |
| 2025-04-01 | Not available in this setting | $1948.16 | RVU25B |
| 2025-01-01 | Not available in this setting | $1948.16 | RVU25A |
61333 billing questions
How does this differ from orbital decompression?
Use this code when the cranial or orbital exploration includes removal of an orbital lesion. Code 61330 describes transcranial orbital decompression without lesion removal.
Can an orbitotomy code be more appropriate?
An orbitotomy code may fit when the lesion is removed through an orbital approach rather than the cranial exploration represented here. Compare the operative approach and work with codes 67412 and 67440.
What documentation supports reporting this service?
The operative report should identify the orbital lesion, document its removal, and describe the cranial or orbital approach. It should distinguish lesion removal from decompression alone.
How is modifier 50 handled for bilateral surgery?
For bilateral reporting with modifier 50, CMS pays this procedure at 150%. The record should support treatment of both sides.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How does the 90-day global period affect postoperative visits?
The global period includes the day-before preoperative visit and 90 days of related postoperative care. Those included services are part of the surgical episode.
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.
6,76661322,,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
6,77261345,,Oth cranial dcmprn pst fossa,A,,28.50,19.03,NA,19.03,,12.04,59.57,59.57,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8213282,NY,99,REST OF NEW YORK,1.000,0.950,0.703
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703