Find policies, billing codes, payers, states, and providers
CPT 65150: Reinsertion of Ocular Implant with Conjunctival Graft
CPT code 65150 represents reinsertion of an ocular implant into an empty eye socket, with placement of a conjunctival graft when necessary to close the defect. This surgical code covers a reconstructive ophthalmic procedure performed after enucleation or evisceration to restore orbital volume and provide soft-tissue coverage. It is a focused, specialty-driven service that matters nationally because it affects post-enucleation rehabilitation, prosthetic fitting, and downstream ocular prosthesis services.
Key payers included in the analysis are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Coverage and payment policies for 65150 influence access to reconstructive ocular surgery across hospital outpatient departments and ambulatory surgical centers, and have implications for coding, bundling, and facility charge capture.
Readers will learn the clinical context and typical sites of service for 65150, common billing considerations, and the scope of services the code covers. The publication provides benchmarks and policy-relevant information about how payers approach this procedure, highlights documentation elements pertinent to claim submission, and summarizes policy updates and coding practice points where available. Data not available in the input will be noted as such in relevant sections.
Customize your policy alerts
Sign up for cpt 65150 policy alerts
Get alerted when payer policies referencing 65150 are released or updated.
Monitor payer policy activity
Billing Code Overview
CPT code 65150 describes reinsertion of an ocular implant to fill an empty eye socket, with application of a conjunctival graft if needed to close the defect. This procedure restores orbital volume following enucleation or evisceration and addresses soft-tissue coverage by using the patient's conjunctiva.
-
Service type: Surgical procedure (ocular/orbital reconstruction)
-
Typical site of service: Hospital operating room or ambulatory surgical center