67413 Explore/treat eye socket
Also known as: orbital exploration and management, partial orbital surgery
Exploration and surgical management of orbit with therapeutic intervention including partial tissue removal or lesion excision without complete exenteration.
In Plain Language
partial removal of tissue from eye socket
Clinical Context
Treatment of orbital lesions, inflammatory conditions, or infectious processes requiring selective surgical intervention.
RVU Breakdown
| Work RVU | 9.98 |
| Total RVU | 9.98 |
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 9.98, this code ranks in the 59th percentile among Surgery codes — 1.2x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 67413?
CPT 67413 (Explore/treat eye socket) is a Surgery code. Exploration and surgical management of orbit with therapeutic intervention including partial tissue removal or lesion excision without complete exenteration.
What is the wRVU value for CPT 67413?
The work RVU for CPT 67413 is 9.98. This code is primarily used by Ophthalmology, Orbit, Oculoplastics. It has a 90-day global period.
When is CPT 67413 used?
Treatment of orbital lesions, inflammatory conditions, or infectious processes requiring selective surgical intervention.
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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.