67400 Explore/biopsy eye socket
Also known as: orbital biopsy, orbit exploration, tissue diagnosis
Exploration and biopsy of orbital contents including soft tissue sampling to evaluate orbital mass, inflammation, or suspected pathology.
In Plain Language
diagnostic sampling of eye socket tissue
Clinical Context
Performed for orbital tumors, inflammatory conditions, infectious processes, or undiagnosed orbital masses; establishes histologic diagnosis.
RVU Breakdown
| Work RVU | 10.92 |
| Total RVU | 10.92 |
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 10.92, this code ranks in the 62nd percentile among Surgery codes — 1.4x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 67400?
CPT 67400 (Explore/biopsy eye socket) is a Surgery code. Exploration and biopsy of orbital contents including soft tissue sampling to evaluate orbital mass, inflammation, or suspected pathology.
What is the wRVU value for CPT 67400?
The work RVU for CPT 67400 is 10.92. This code is primarily used by Ophthalmology, Orbit, Oculoplastics. It has a 90-day global period.
When is CPT 67400 used?
Performed for orbital tumors, inflammatory conditions, infectious processes, or undiagnosed orbital masses; establishes histologic diagnosis.
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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.