FeeBase
Log inGet started
Menu
On this page

CMS RVU26D · Effective 2026-10-01

61333 Orbital lesion removal Medicare reimbursement rates in Delaware

Reports cranial or orbital exploration to remove an orbital lesion, rather than orbital decompression alone, during a major surgical procedure. Compare 61333 office and facility rates across CMS payment localities in Delaware.

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.

What does Medicare pay for 61333 in Delaware?

Delaware has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.

Office / nonfacility

No supported rate

Facility setting

$1914.16

1 of 1 localities have a supported rate.

Payment area: Delaware

One mapped payment locality.

These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.

Find 61333 in your payment locality →

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 Delaware, from the same CMS release.

61330

Orbital decompression

Transcranial approach

No office rate

Code 61330 describes transcranial orbital decompression. This code is for cranial or orbital exploration that removes an orbital lesion.

67412

Orbital surgery

Foreign-body removal

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.

67440

Orbital drainage

Lateral bone-flap approach

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.

Compare 61333 by payment locality

Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.

1 of 1 payment localities

Office and facility base rates · shared scale starting at $0

Need rates for a whole code list?

Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.

Explore fee-sheet early access →

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 Delaware.

PPRRVU2026_Oct_nonQPP.csv

6,769

Code
61333
Physician work
28.54
Practice expense
18.00
Malpractice
12.06

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Facility calculation for 61333 in Delaware
ComponentRVULocality factorAdjusted
Physician work28.54× 1.00528.6827
Practice expense18.00× 0.98817.7840
Malpractice12.06× 0.89910.8419
Total RVUs57.3086
Conversion factor× 33.4009

Facility rate, Delaware$1914.16

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work28.541.005
Practice expense180.988
Malpractice12.060.899

(28.54 × 1.005 + 18 × 0.988 + 12.06 × 0.899) × $33.4009 = $1914.16

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.

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.

RVUs for 61333PPRRVU2026_Oct_nonQPP.csv, line 6,769 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet