67420 Explore/treat eye socket
Also known as: extensive orbital surgery, orbital mass removal, wide orbital dissection
Exploration and surgical management of orbital contents with extensive removal of affected tissue or mass requiring wide dissection and careful preservation of vital structures.
In Plain Language
extensive surgery inside eye socket
Clinical Context
Complex cases requiring extensive tissue removal: large tumors, extensive inflammatory disease, or cases with significant anatomic involvement.
RVU Breakdown
| Work RVU | 21.32 |
| Total RVU | 21.32 |
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 21.32, this code ranks in the 84th percentile among Surgery codes — 2.7x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 67420?
CPT 67420 (Explore/treat eye socket) is a Surgery code. Exploration and surgical management of orbital contents with extensive removal of affected tissue or mass requiring wide dissection and careful preservation of vital structures.
What is the wRVU value for CPT 67420?
The work RVU for CPT 67420 is 21.32. This code is primarily used by Ophthalmology, Orbit, Oculoplastics. It has a 90-day global period.
When is CPT 67420 used?
Complex cases requiring extensive tissue removal: large tumors, extensive inflammatory disease, or cases with significant anatomic involvement.
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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.