CPT code 65114 represents removal of the contents of one orbit with reconstruction using local muscle or muscle with attached skin to close the defect. This procedure is typically performed for orbital trauma or orbital tumors and carries important clinical and billing implications given its complexity and potential for inpatient or outpatient surgical care. Nationally, accurate coding for complex orbital procedures affects hospital and surgeon reimbursement, clinical communication, and quality reporting.

Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the code’s clinical intent and service context, plus benchmarks and policy-related considerations relevant to payers nationally. The publication highlights typical sites of service, common billing modifiers (listed separately), and areas where coding clarification or documentation can affect claims processing.

This summary equips clinical coders, billing managers, and policy staff with the clinical framing and payer context needed to classify procedures involving orbital content removal and local flap reconstruction, and points to where to look for payer-specific coverage rules and billing guidance.