CPT® Code 65101

Enucleation of the eye refers to the surgical procedure that involves the complete removal of the eyeball from its socket. This procedure is typically indicated for the treatment of serious conditions such as tumors of the eye, including intraocular melanoma and retinoblastoma, as well as for cases of severe trauma that compromise the integrity of the eye. During the enucleation process, the surgeon carefully measures the globe of the eye and determines the length of the optic nerve to ensure precise removal. The procedure is performed under magnification using a dissecting microscope, which aids in visualizing the intricate orbital structures and assessing the extent of any lesions or trauma present. A limbal incision is made around the conjunctiva and Tenon's capsule to access the eye. The extraocular muscles, which control eye movement, are then exposed and divided to facilitate the removal of the globe. The optic nerve is located and severed, allowing for the complete extraction of the eyeball. It is important to note that in CPT® Code 65101, the enucleation is performed without the placement of an implant, distinguishing it from other codes that involve the insertion of an implant to replace the removed eye.