CPT code 65130 denotes the surgical insertion of an ocular implant wrapped in sclera to fill an anophthalmic socket, commonly performed months after eye removal. This reconstructive procedure restores orbital volume, supports an external prosthesis, and can improve cosmetic appearance and prosthetic motility. Nationally, 65130 is relevant to ophthalmic surgeons, ocularists, and surgical centers involved in post-enucleation rehabilitation.

Key payers in the national landscape include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise clinical context for the procedure, typical sites of service (outpatient surgical centers and hospital operating rooms), and the common payer mix affecting coverage and billing practices. The publication summarizes typical service characteristics and highlights areas where billing and documentation commonly influence reimbursement outcomes.

The analysis offers benchmarks and descriptive guidance on how 65130 is represented in claims, common billing considerations, and the clinical rationale for timing the implant several months after eye removal. Data not available in the input is noted where specific payer policy details, associated taxonomies, and ICD-10 diagnosis pairings would normally appear. This national overview is intended to support coding accuracy, administrative planning, and clinical stakeholders seeking a clear summary of the procedure coded by 65130.