CPT 61330: Orbital Decompression for Proptosis or Orbital Roof Fracture
CPT code 61330 denotes orbital decompression surgery in which a portion of the bony orbit is removed to create space for the eye to return to a more normal position. This procedure is clinically important for treating severe proptosis (bulging eyes) and for repair of orbital roof fractures. Nationally, orbital decompression is a specialized, resource-intensive surgical service delivered in hospital operating rooms and ambulatory surgical centers and intersects with ophthalmology, oculoplastic surgery, and craniofacial trauma care.
Key payers addressed in the analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of clinical indications and typical sites of service, common billing considerations, and the payer landscape relevant to reimbursement and coverage policy. The publication provides benchmarks and comparisons where available, summarizes coding and clinical context for claims processing, and highlights practical billing elements that influence claim adjudication. Data not available in the input is noted where applicable.
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Billing Code Overview
CPT code 61330 describes a surgical procedure in which a provider removes a portion of the bony orbit to create additional space within the eye socket, allowing the globe to return to a more normal position. The procedure is commonly performed to relieve eye proptosis (bulging eyes) and to treat orbital roof fractures.
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Service type: Orbital decompression surgery, craniofacial/orbital surgical procedure
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Typical site of service: Hospital operating room or ambulatory surgical center, depending on clinical complexity and patient status