65290 Repair of eye socket wound
Also known as: orbital decompression, lateral canthotomy
Repair of orbital compartment syndrome.
In Plain Language
emergency surgery to relieve pressure behind eye; releasing pressure in eye socket
Clinical Context
Emergent surgical decompression for orbital compartment syndrome to prevent vision loss. Performed urgently after clinical diagnosis or strong suspicion to prevent permanent blindness.
RVU Breakdown
| Work RVU | 6.37 |
| Total RVU | 6.37 |
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 6.37, this code ranks in the 42nd percentile among Surgery codes — 1.3x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 65290?
CPT 65290 (Repair of eye socket wound) is a Surgery code. Repair of orbital compartment syndrome.
What is the wRVU value for CPT 65290?
The work RVU for CPT 65290 is 6.37. This code is primarily used by oculoplastic surgery, trauma surgery, neuro-ophthalmology. It has a 90-day global period.
When is CPT 65290 used?
Emergent surgical decompression for orbital compartment syndrome to prevent vision loss. Performed urgently after clinical diagnosis or strong suspicion to prevent permanent blindness.
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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.