65091 Revise eye
Also known as: ocular implant revision, prosthesis revision
Surgical revision of ocular prosthesis or orbital implant following enucleation or evisceration. Addresses complications or patient dissatisfaction with initial implant.
In Plain Language
fixing or replacing artificial eye
Clinical Context
Indicated for revision of orbital implant due to infection, extrusion, asymmetry, or poor orbital contour. Performed at secondary surgical sitting after enucleation.
RVU Breakdown
| Work RVU | 7.08 |
| Total RVU | 7.08 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 7.08, this code ranks in the 46th percentile among Surgery codes — 1.1x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 65091?
CPT 65091 (Revise eye) is a Surgery code. Surgical revision of ocular prosthesis or orbital implant following enucleation or evisceration. Addresses complications or patient dissatisfaction with initial implant.
What is the wRVU value for CPT 65091?
The work RVU for CPT 65091 is 7.08. This code is primarily used by Ophthalmology, Oculoplastic Surgery, General Surgery. It has a 90-day global period.
When is CPT 65091 used?
Indicated for revision of orbital implant due to infection, extrusion, asymmetry, or poor orbital contour. Performed at secondary surgical sitting after enucleation.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.