2025 CPT code 67560
(Active) Effective Date: N/A Surgical Procedures on the Eye and Ocular Adnexa - Ophthalmology Surgery Feed
Removal or revision of an orbital implant (placed outside the muscle cone).
Modifiers may be applicable to this code. For example, modifier -52 may be used if the service is reduced. Refer to current CPT guidelines for appropriate modifier usage.
Medical necessity must be established for this procedure. The documentation must demonstrate a clinical need for removal or revision of the orbital implant, such as functional impairment, discomfort, or infection.
The physician prepares the patient and administers anesthesia. They then either revise the orbital implant by attaching eye muscles to it for better movement and covering it with the conjunctiva or remove the implant entirely.
In simple words: This procedure involves either removing or fixing a prosthetic eye that sits outside the eye muscles. This is usually done if the prosthetic eye doesn't fit well or isn't working as it should.Fixing the prosthetic eye might involve attaching the eye muscles to it so it moves better and covering it with the natural tissue from your eye.
This procedure involves the removal or revision of a previously placed prosthetic eye implant located outside the muscle cone. The implant is typically removed or revised due to issues with fit or function.Revision may involve suturing the eye muscle ends to the implant to improve movement, and repositioning the conjunctiva.
Example 1: A patient has an orbital implant that has become displaced and is causing discomfort. The surgeon removes the implant., A patient’s prosthetic eye doesn't move naturally, impacting their appearance. The surgeon revises the implant, attaching the eye muscles to improve movement., A patient’s orbital implant extrudes due to infection. The surgeon removes the implant and addresses the infection.
Documentation should include the reason for removal or revision (e.g., poor fit, displacement, infection), the surgical technique used, and any complications encountered.
- Revenue Code: P4E (EYE PROCEDURE - OTHER)
- Specialties:Ophthalmology, Oculoplastic Surgery
- Place of Service:Ambulatory Surgical Center, Hospital Outpatient, Physician's Office