2025 CPT code 67413
Effective Date: N/A Surgery - Surgical Procedures on the Eye and Ocular Adnexa Feed
Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body
Modifiers may be applicable depending on the circumstances. Refer to current CPT guidelines for modifier usage.
Medical necessity for 67413 is established by the presence of a foreign body in the orbit causing pain, discomfort, or posing a risk of infection or further injury.
After preparing and anesthetizing the patient, the surgeon makes a small incision in the eyelid or conjunctiva. The foreign body is located and removed, and the incision is closed.The surgeon irrigates the area and checks for bleeding.
In simple words: The doctor makes a small cut in the eyelid or the clear covering of the eye to remove something that doesn't belong there. They don't need to remove any bone to do this.
This procedure involves an incision into the orbit (the bony cavity holding the eye) through the eyelid or conjunctiva to remove a foreign body.A bone flap is not created.
Example 1: A patient presents with a metal shard embedded in their orbit following an industrial accident. An orbitotomy (67413) is performed to remove the foreign body., A child is playing and gets a small toy lodged in their orbit. The ophthalmologist performs an orbitotomy (67413) to retrieve the toy., During a fight, a patient receives a blow to the eye, resulting in a small bone fragment becoming lodged in the orbit.An orbitotomy (67413) is performed to remove the fragment.
Documentation should include the operative report detailing the approach (frontal or transconjunctival), the size and nature of the foreign body, and any complications encountered. Pre- and post-operative images may also be beneficial.
- Revenue Code: P4E
- Specialties:Ophthalmology
- Place of Service:Ambulatory Surgical Center, Hospital, Outpatient Hospital