CPT 61705
Global 090 ActiveRevise circulation to head
CPT 61705 Billing & Documentation Guide
CPT code 61705 (Revise circulation to head) is classified under Surgery (Endocrine/Nervous/Eye/Ear) with a global period indicator of 090. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 37.15, a non-facility practice expense RVU of 22.07, and a malpractice RVU of 15.67, a total non-facility RVU of 74.89 and facility RVU of 74.89. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $2483.5, though rates vary from $2108.25 to $3331.88 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 61705, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 61705 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
90-day global period (major surgery: 1 day pre-op + procedure + 90 days post-op)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 61705 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 61705
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 37.15 | 37.15 |
| Practice Expense RVU | 22.07 | 22.07 |
| Malpractice RVU | 15.67 | 15.67 |
| Total RVU | 74.89 | 74.89 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 61705
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $2441.42 | $2441.42 | $2350.4 - $2720.86 | 29 |
| Florida | $2999.33 | $2999.33 | $2732.22 - $3331.88 | 3 |
| Georgia | $2572.19 | $2572.19 | $2522.27 - $2622.11 | 2 |
| Illinois | $2957.67 | $2957.67 | $2731.93 - $3191.56 | 4 |
| Michigan | $2669.71 | $2669.71 | $2504.78 - $2834.64 | 2 |
| North Carolina | $2263.06 | $2263.06 | $2263.06 - $2263.06 | 1 |
| New York | $2833.64 | $2833.64 | $2309.09 - $3168.68 | 5 |
| Ohio | $2441.45 | $2441.45 | $2441.45 - $2441.45 | 1 |
| Pennsylvania | $2533.56 | $2533.56 | $2412.16 - $2654.97 | 2 |
| Texas | $2459.57 | $2459.57 | $2389.54 - $2702.96 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 61705
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 61705 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0228T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0230T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0333T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0464T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0597T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0708T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0709T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
Frequently Asked Questions, CPT 61705
What does CPT code 61705 mean? +
CPT code 61705 represents: Revise circulation to head. It's in the Surgery (Endocrine/Nervous/Eye/Ear) category with a global period of 090.
What is the Medicare reimbursement for CPT 61705? +
The 2026 Medicare national average non-facility payment for CPT 61705 is $2483.5. Rates range from $2108.25 to $3331.88 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 61705? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 61705? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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