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65125 Revise ocular implant

Surgery Global 90d

Also known as: orbital implant revision, prosthesis revision

Surgical revision of a previously placed ocular implant to correct positioning, size mismatch, or other complications affecting function or esthetics.

In Plain Language

fixing artificial eye implant

Clinical Context

Performed months or years after initial enucleation when implant complications develop. Lower relative value than initial implant insertion.

RVU Breakdown

Work RVU3.19
Total RVU3.19

Est. Medicare Payment

$106.55

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 3.19, this code ranks in the 22nd percentile among Surgery codes — 2.5x below the median (8.00). The highest wRVU in this category is 106.19.

Specialties

OphthalmologyOculoplastic Surgery

Frequently Asked Questions

What is CPT code 65125?

CPT 65125 (Revise ocular implant) is a Surgery code. Surgical revision of a previously placed ocular implant to correct positioning, size mismatch, or other complications affecting function or esthetics.

What is the wRVU value for CPT 65125?

The work RVU for CPT 65125 is 3.19. This code is primarily used by Ophthalmology, Oculoplastic Surgery. It has a 90-day global period.

When is CPT 65125 used?

Performed months or years after initial enucleation when implant complications develop. Lower relative value than initial implant insertion.

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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.