CPT code 67332 is an add-on procedural code used to document increased surgical complexity during strabismus repair when significant scarring from prior extraocular muscle surgery, retinal detachment repair, or thyroid-related myopathy is present. Nationally, accurate use of this code matters for clinical documentation, appropriate reimbursement for additional operative work, and tracking complexity in ophthalmic surgical care. Key payers in this review include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. This publication explains what 67332 represents, the clinical scenarios that trigger its use, and the typical settings where it is performed. Readers will find a concise clinical context for when the add-on applies, an overview of common payer coverage considerations, and guidance on documentation elements that support reporting the code. Also included are benchmarking topics and recent policy update highlights relevant to payers and hospital billing teams. Data not available in the input for specific ICD-10 pairings, payer-specific rules, or reimbursement benchmarks are noted as unavailable.