65103 Remove eye/insert implant
Also known as: enucleation with implant, eye removal with implant
Surgical removal of the eye (enucleation) with simultaneous insertion of an orbital implant to maintain orbital volume and support prosthetics.
In Plain Language
removing eye and putting in prosthesis
Clinical Context
Performed when enucleation required and orbital implant insertion desired for improved esthetics and function with prosthetic eye.
RVU Breakdown
| Work RVU | 8.62 |
| Total RVU | 8.62 |
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 8.62, this code ranks in the 53rd percentile among Surgery codes — 1.1x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 65103?
CPT 65103 (Remove eye/insert implant) is a Surgery code. Surgical removal of the eye (enucleation) with simultaneous insertion of an orbital implant to maintain orbital volume and support prosthetics.
What is the wRVU value for CPT 65103?
The work RVU for CPT 65103 is 8.62. This code is primarily used by Ophthalmology, Oculoplastic Surgery. It has a 90-day global period.
When is CPT 65103 used?
Performed when enucleation required and orbital implant insertion desired for improved esthetics and function with prosthetic eye.
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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.