Billing code 61333: Orbital lesion removalMedicare rate & RVUs in Nevada
Reports cranial or orbital exploration to remove an orbital lesion, rather than orbital decompression alone, during a major surgical procedure.
CMS doesn’t publish an office rate for 61333 in Nevada.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 61333 covers
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.
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 in Nevada**
| Payment locality | Office | Facility |
|---|---|---|
| Nevada** | Unavailable | $1,890.62 |
How the 61333 rate is calculated
Each of 61333’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.
How the rate is built · 61333
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 28.54Practice expense 18.00Malpractice 12.06
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 61333
61333 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 61333
Orbital lesion removal
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.11/0.76/0.13 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 61333
Orbital lesion removal
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
61333 without 50 · national facility
$1,957.29
Orbital lesion removal
61333-50 · Bilateral: 150%
$2,935.94
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
61333 compared with similar codes
Compare codes
61333 vs 61330 vs 67412 vs 67440: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 61330Orbital decompression
- Code 61330 describes transcranial orbital decompression. This code is for cranial or orbital exploration that removes an orbital lesion.
- 67412Orbital surgery
- 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.
- 67440Orbital drainage
- Code 67440 describes lesion removal through a lateral orbitotomy with a bone flap or window; this code represents a cranial exploration approach.
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 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
Show the CMS file lines behind this rate
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