Billing code 67570: Optic nerve surgeryMedicare rate & RVUs in Ohio
Reports surgical decompression of the optic nerve, including optic nerve sheath fenestration, for vision-threatening pressure-related optic neuropathy.
CMS doesn’t publish an office rate for 67570 in Ohio.
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 8 sections
What 67570 covers
This code covers an operation to relieve pressure affecting the optic nerve, commonly by opening the nerve’s surrounding sheath. It may be considered for vision-threatening optic nerve injury associated with elevated pressure, including papilledema. The service is performed in an operating room by an ophthalmic or neurosurgical specialist; the operative report should identify the indication, treated side, surgical method, and findings supporting decompression.
Report the code for the decompression operation itself, not for an orbital injection or an orbital implant procedure. The documented work should establish that the optic nerve was surgically decompressed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For same-session procedures, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be allowed; 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.
67570 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | Unavailable | $1,056.18 |
How the 67570 rate is calculated
Each of 67570’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 · 67570
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 14.04Practice expense 18.02Malpractice 1.12
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 67570
67570 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 67570
Optic nerve surgery
| 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) | 0.10/0.70/0.20 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 67570
Optic nerve surgery
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
67570 without 50 · national facility
$1,108.24
Optic nerve surgery
67570-50 · Bilateral: 150%
$1,662.36
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).
67570 compared with similar codes
Compare codes
67570 vs 67500 vs 67550 vs 67599: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 67500Eye injection
- This code describes an orbital injection. Choose 67570 when the service is surgical decompression of the optic nerve.
- 67550Orbital implant
- 67550 concerns placement of an orbital implant; it is not the code for pressure-relieving surgery on the optic nerve.
- 67599Unlisted procedure orbit
- 67599 is for an orbital procedure without a specific listed code. Use 67570 when the documented service is the specified optic nerve decompression operation.
67570 billing questions
When is 67570 different from an orbital injection code?
67570 describes an operation to decompress the optic nerve. Codes 67500, 67505, and 67515 describe orbital injections, not surgical decompression.
Does the 90-day global period include postoperative care?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral decompression reported?
For a bilateral procedure, modifier 50 is paid at 150% under the CMS facts for this code.
How does CMS handle another procedure performed in the same session?
The highest-valued procedure is paid in full, and other procedures performed in that session are subject to the standard multiple-procedure reduction.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be allowed. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What should the operative note establish?
Document the clinical reason for decompression, the side treated, the surgical method, and operative findings showing that optic nerve decompression was performed.
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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