CPT code 67414 represents an orbital bony decompression procedure in which the surgeon incises the orbit via an eyelid or conjunctival approach and removes bony tissue to relieve pressure without creating a bone flap. This surgical code is relevant nationally for management of orbital compartment syndrome, thyroid eye disease, and other conditions causing optic nerve or globe compression where bony removal is indicated. The code defines a specific technique and anatomic focus that influences site-of-service decisions, coding specificity, and surgical quality reporting.

Key payers considered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise explanation of the clinical procedure and typical settings, followed by benchmarks and reimbursement context where available, coding considerations, and potential policy updates that affect coverage and prior authorization. The publication provides clinical context for appropriate use, highlights how the code is distinguished from other orbital or craniofacial procedures, and outlines common billing themes encountered across major payers. Data not available in the input will be noted where applicable.