2025 HCPCS code L8610
(Active) Effective Date: N/A Revision Date: N/A Prosthetics - Implantable Eye and Ear Prosthetics and Accessories L Codes Feed
Ocular implant used to restore volume and shape of a missing eye following enucleation.
Medical necessity for L8610 is established by the need to restore the eye socket's volume and shape after enucleation, enabling the fitting and movement of a prosthetic eye. This improves both the patient's appearance and psychological well-being.
The clinician is responsible for selecting, fitting, and ensuring the proper placement and movement of the ocular implant.
In simple words: An artificial eye placed after surgical eye removal to maintain the eye socket's natural appearance and movement.
This code covers an ocular implant, a prosthetic device used to replace a missing eye after enucleation. It fits under the eyelids, over an orbital implant.The eye muscles support the implant, enabling it to move with the remaining eye.
Example 1: A patient undergoes enucleation due to advanced melanoma of the eye. L8610 is used for the ocular implant to restore cosmesis and allow for a natural-looking prosthetic eye., A child with a congenital absence of an eye receives an ocular implant (L8610) to support the development of the eye socket and facilitate the fitting of a prosthetic eye., Following a traumatic eye injury that necessitates enucleation, a patient receives an L8610 ocular implant to maintain the shape of the eye socket and provide a base for an artificial eye.
Documentation should include the medical reason for enucleation, the type and size of the ocular implant used, and the fitting process. Operative notes for the enucleation and implant placement procedures are also required.
- Payment Status: Active
- Specialties:Ophthalmology, Oculoplastics
- Place of Service:"Inpatient Hospital", "Outpatient Hospital", "Ambulatory Surgical Center", "Physician's Office"