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CPT 67318: Superior Oblique Strabismus Surgery
CPT code 67318 denotes a targeted surgical procedure to strengthen and reposition the superior oblique extraocular muscle as part of strabismus management. Nationally, this code is used in ophthalmology and pediatric ophthalmology practices as well as in hospital outpatient departments and ambulatory surgical centers to address diplopia and ocular misalignment attributable to superior oblique weakness or palsy. The procedure has clinical importance because precise muscle adjustment can restore binocular alignment, reduce symptomatic double vision, and improve functional vision.
Key payers reviewed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise clinical context for CPT code 67318, typical sites of service, common modifiers and billing considerations (where provided), and an outline of related billing issues encountered in strabismus surgery coding. The publication summarizes benchmarks and reimbursement context where available and highlights policy or documentation points that commonly affect coverage and claim adjudication. It is intended as a national overview for coding professionals, billing managers, and clinicians seeking a clear summary of the code’s clinical intent and administrative implications.
Data not available in the input for associated taxonomies, ICD-10 diagnoses, and related codes.
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Billing Code Overview
CPT code 67318 describes a surgical procedure on the superior oblique extraocular muscle to strengthen and reposition the muscle, correcting ocular misalignment and abnormal eye movements caused by superior oblique dysfunction. This procedure is a form of strabismus surgery focused on the superior oblique muscle.
Service Type: Ophthalmic surgical procedure — strabismus surgery
Typical Site of Service: Hospital outpatient department or ambulatory surgical center