Headline: CPT code 67550: Surgical implantation of prosthetic eyeball outside the extraocular muscle cone

Lead: CPT code 67550 covers surgical implantation of a prosthetic orbital implant placed outside the muscle cone to replace an eye lost to disease or trauma. The code defines a targeted reconstructive ophthalmic procedure with implications for surgical billing, site-of-service planning, and national coverage determinations.

CPT code 67550 represents a definitive surgical procedure used to restore orbital volume after enucleation or evisceration by placing a manmade ocular implant outside the extraocular muscle cone. This code matters nationally because it captures a specialized reconstructive service with specific facility and surgeon resource needs, and it is relevant to coverage policies across public and commercial payers. Key payers referenced in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.

Readers will find a concise overview of the clinical indication and procedure setting, plus what to expect in payer coverage and coding context. The publication summarizes typical sites of service (hospital operating room or ambulatory surgical center), common billing considerations, and benchmarking and policy elements where available. Data not available in the input will be noted as such. The content is intended to inform coding accuracy, claims preparation, and payer engagement on a national level.