CPT code 65155 represents the surgical reinsertion of an ocular implant into an empty orbit using foreign material (for example, sutures or grafts) to reinforce the implant or secure extraocular muscles. The procedure addresses post-enucleation or post-evisceration orbital volume loss and is clinically important for prosthetic retention, cosmesis, and orbital function. Nationally, this code is relevant across private commercial plans and Medicare as a specialized ophthalmic reconstructive service.

Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context and typical sites of service (hospital operating room and ambulatory surgical center), plus what to expect in billing and coverage discussions for this reconstructive ocular procedure. The publication summarizes common modifiers and related billing considerations when available, and highlights benchmarks and policy topics relevant to ophthalmic implant procedures.

This report provides clinicians, billing specialists, and policy analysts with practical context for coding and payer conversations, a summary of payers covered, and links to further resources for reimbursement benchmarks and coverage policy. Data not available in the input is noted where applicable.