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67430 Explore/treat eye socket

Surgery Global 90d

Also known as: superior orbital approach, superior orbitotomy, eyelid approach

Exploration and surgical management of orbit through superior approach with superior canthal opening or superior orbital access for lesions in superior orbit.

In Plain Language

surgery through upper eyelid to reach eye socket

Clinical Context

Preferred approach for superior orbital lesions, lacrimal gland masses, or superior orbital compartment pathology.

RVU Breakdown

Work RVU14.91
Total RVU14.91

Est. Medicare Payment

$497.99

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 14.91, this code ranks in the 73rd percentile among Surgery codes — 1.9x the median (8.00). The highest wRVU in this category is 106.19.

Specialties

OphthalmologyOrbitOculoplastics

Frequently Asked Questions

What is CPT code 67430?

CPT 67430 (Explore/treat eye socket) is a Surgery code. Exploration and surgical management of orbit through superior approach with superior canthal opening or superior orbital access for lesions in superior orbit.

What is the wRVU value for CPT 67430?

The work RVU for CPT 67430 is 14.91. This code is primarily used by Ophthalmology, Orbit, Oculoplastics. It has a 90-day global period.

When is CPT 67430 used?

Preferred approach for superior orbital lesions, lacrimal gland masses, or superior orbital compartment pathology.

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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.