CPT® Code 65093

Evisceration of the eye, as described by CPT® Code 65093, is a surgical procedure aimed at removing the internal contents of the eye while preserving the outer shell, known as the sclera. This procedure is typically indicated for patients suffering from severe eye infections that do not respond to antibiotic treatment, as well as for those experiencing significant pain or for cosmetic reasons in cases of a blind eye. During the procedure, the cornea is excised, allowing access to the ocular contents. An ocular curette is then utilized to meticulously scrape away the internal structures of the eye, including the retina, uveal tract, vitreous body, and lens, from the scleral shell. To manage any bleeding that may occur from the vortex veins and central retinal artery during this process, electrocautery and/or pressure techniques are employed. After ensuring hemostasis, the scleral shell is thoroughly inspected, and any residual uveal tissue is removed using a swab. Unlike CPT® Code 65091, which involves evisceration without the placement of an implant, CPT® Code 65093 includes the insertion of a properly sized implant into the scleral shell. Following the implant placement, the sclera is closed in a layered manner over the anterior surface of the implant, which is crucial for preventing scleral contraction and the potential extrusion of the implant.