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65135 Insert ocular implant

Surgery Global 90d

Also known as: orbital implant insertion with enhancement

Surgical insertion of an orbital implant with additional complexity such as muscle attachment or advanced implant design for improved motility and esthetics.

In Plain Language

putting in enhanced eye support

Clinical Context

Represents implant insertion with additional technical complexity such as direct muscle attachment or motility enhancement.

RVU Breakdown

Work RVU8.39
Total RVU8.39

Est. Medicare Payment

$280.23

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 8.39, this code ranks in the 52nd percentile among Surgery codes — 1.0x the median (8.00). The highest wRVU in this category is 106.19.

Specialties

OphthalmologyOculoplastic Surgery

Frequently Asked Questions

What is CPT code 65135?

CPT 65135 (Insert ocular implant) is a Surgery code. Surgical insertion of an orbital implant with additional complexity such as muscle attachment or advanced implant design for improved motility and esthetics.

What is the wRVU value for CPT 65135?

The work RVU for CPT 65135 is 8.39. This code is primarily used by Ophthalmology, Oculoplastic Surgery. It has a 90-day global period.

When is CPT 65135 used?

Represents implant insertion with additional technical complexity such as direct muscle attachment or motility enhancement.

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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.