65130 Insert ocular implant
Also known as: orbital implant insertion primary
Surgical insertion of an orbital implant during a primary procedure for orbital volume maintenance and to support prosthetic eye fitting.
In Plain Language
putting in artificial eye support
Clinical Context
Performed at time of initial enucleation or evisceration to maintain orbital volume. Improves esthetic and functional results with prosthetic eye.
RVU Breakdown
| Work RVU | 8.21 |
| Total RVU | 8.21 |
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 8.21, this code ranks in the 51st percentile among Surgery codes — 1.0x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 65130?
CPT 65130 (Insert ocular implant) is a Surgery code. Surgical insertion of an orbital implant during a primary procedure for orbital volume maintenance and to support prosthetic eye fitting.
What is the wRVU value for CPT 65130?
The work RVU for CPT 65130 is 8.21. This code is primarily used by Ophthalmology, Oculoplastic Surgery. It has a 90-day global period.
When is CPT 65130 used?
Performed at time of initial enucleation or evisceration to maintain orbital volume. Improves esthetic and functional results 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.