No office rate
Use this code for orbital decompression through a transcranial approach. Code 67414 describes decompression through a lateral orbitotomy.
On this page
CMS RVU26D · Effective 2026-10-01
61330 Orbital decompression Medicare reimbursement rates in Vermont
Reports surgical expansion of the orbit through a transcranial route to relieve orbital pressure, such as compression associated with severe proptosis or optic neuropathy. Compare 61330 office and facility rates across CMS payment localities in Vermont.
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 61330 in Vermont?
Vermont 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
$1585.56
1 of 1 localities have a supported rate.
Payment area: Vermont
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.
Neurosurgery
About 61330: Transcranial orbital decompression
Reports surgical expansion of the orbit through a transcranial route to relieve orbital pressure, such as compression associated with severe proptosis or optic neuropathy.
This procedure relieves pressure within the orbit by removing bone through a cranial approach, creating more space for the orbital contents. It may be performed for severe proptosis or optic nerve compression, including in patients with thyroid-associated orbitopathy. Neurosurgeons and oculoplastic surgeons may perform it in a hospital operating room. The operative report should establish that the route was transcranial and that the work was orbital decompression rather than treatment of an intracranial lesion.
Report the code for the transcranial orbital decompression itself, with documentation of the indication, side, approach, and operative work. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. For bilateral surgery, modifier 50 is paid at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 61330
- 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 RVU24.67 · 47%
- Practice expense (office) RVU17.70 · 34%
- Malpractice RVU10.43 · 20%
29
Medicare services in 2024 · #5693 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.
61330 compared with similar codes
Office rates for Vermont, from the same CMS release.
No office rate
This code targets the orbit. Code 61322 describes cranial decompression without lobectomy, not orbital decompression.
No office rate
This code targets the orbit. Code 61323 describes cranial decompression with lobectomy, not orbital decompression.
Compare 61330 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
Vermont →
Office / nonfacility
Unavailable
Facility
$1585.56
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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 61330 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
6,768
- Code
- 61330
- Physician work
- 24.67
- Practice expense
- 17.70
- Malpractice
- 10.43
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 24.67 | × 1.000 | 24.6700 |
| Practice expense | 17.70 | × 0.990 | 17.5230 |
| Malpractice | 10.43 | × 0.506 | 5.2776 |
| Total RVUs | 47.4706 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$1585.56
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 24.67 | 1 |
| Practice expense | 17.7 | 0.99 |
| Malpractice | 10.43 | 0.506 |
(24.67 × 1 + 17.7 × 0.99 + 10.43 × 0.506) × $33.4009 = $1585.56
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.
61330 billing questions
How does this differ from orbital decompression through a lateral orbitotomy?
This code identifies decompression performed through a transcranial route. A lateral orbitotomy code, such as 67414, describes a different surgical approach.
What documentation supports reporting this code?
The operative report should identify the transcranial approach, the orbit decompressed, laterality, the reason for decompression, and the work performed.
How should bilateral decompression be reported?
Report bilateral surgery with modifier 50; CMS pays the bilateral procedure at 150%.
Does the code include postoperative care?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation, while team surgery is not permitted.
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.
6,76561321,,Crnec/crnot drg icr abs ittl,A,,29.77,19.60,NA,19.60,,12.58,61.95,61.95,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,76661322,,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
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817