2025 CPT code 65140
(Active) Effective Date: N/A Revision Date: N/A Surgical Procedures on the Eye and Ocular Adnexa - Secondary Implant(s) Procedures on the Eyeball Surgery Feed
Insertion of a secondary ocular implant after enucleation, with muscle attachment.
Modifiers may apply depending on the circumstances.For example, modifier 51 (Multiple Procedures) may be used if additional procedures are performed during the same session.Modifier 22 (Increased Procedural Services) may be used in exceptional circumstances if the procedure is significantly more complex than usual. Consult the CPT manual and payer-specific guidelines for appropriate modifier usage.
Medical necessity for this procedure is established by the need to restore the anatomy and function of the eye socket after enucleation, improving cosmetic appearance and facilitating normal movement of the artificial eye.
The ophthalmologist or qualified surgeon is responsible for the entire procedure, including patient preparation, socket preparation, implant insertion, muscle attachment, and closure. Post-operative care and follow-up are also part of the clinical responsibility.
- Surgery
- Surgery > Surgical Procedures on the Eye and Ocular Adnexa > Surgical Procedures on the Eyeball > Secondary Implant(s) Procedures on the Eyeball
In simple words: The doctor puts in a permanent artificial eye after the real eye has been removed.The artificial eye is attached to the muscles that move the eye, making it look more natural.
This CPT code, 65140, describes the surgical procedure of inserting a secondary ocular implant into the eye socket following enucleation (removal of the eyeball).The procedure involves attaching the implant to the extraocular muscles responsible for eye movement. This is typically performed several months after the initial enucleation. The procedure includes preparing the socket, inserting the implant, suturing the rectus muscles to the implant, closing Tenon's capsule and the conjunctiva, and placing an orbital conformer.
Example 1: A patient undergoes enucleation due to a traumatic eye injury. Several months later, an ocular implant is inserted and attached to the extraocular muscles to restore the eye socket's shape and allow for normal eye movement., A patient with a history of retinoblastoma undergoes enucleation, and later receives an implant with muscle attachment for cosmetic and functional restoration., A patient experiences complications with a previously implanted prosthesis requiring removal and replacement with a new implant, including muscle reattachment using code 65140.
* Preoperative diagnosis and indications for the procedure.* Documentation of previous enucleation.* Detailed operative report including description of implant type, muscle attachment technique, and closure method.* Postoperative course and any complications.* Pathology report (if applicable).* Photographs (before and after surgery, if applicable).
** Always refer to the most up-to-date CPT codebook and payer-specific guidelines for complete and accurate coding.Understanding the difference between ocular and orbital implants is crucial for accurate coding.This procedure may be bundled with other services based on payer policy.
- Revenue Code: P4E (EYE PROCEDURE - OTHER)
- RVU: This information is not available in the provided sources.Consult the AMA CPT codebook or other relevant reimbursement databases for RVU values and payment rates. RVUs vary by geographic location, facility type and payer.
- Global Days: This information is not available in the provided sources. The global period may vary based on payer policies and local standards.Further research into payer-specific guidelines is recommended.
- Payment Status: Active
- Modifier TC rule: The provided sources do not specify whether a Technical Component (TC) modifier applies.This would need to be determined based on payer guidelines and the specific circumstances of the procedure.
- Fee Schedule: This information is not available in the provided sources. Consult the AMA CPT codebook or other relevant reimbursement databases for historical fee schedule data.
- Specialties:Ophthalmology
- Place of Service:Ambulatory Surgical Center, Outpatient Hospital, Inpatient Hospital