CPT® Code 65103

Enucleation of the eye is a surgical procedure that involves the complete removal of the eyeball (globe) from its socket (orbit). 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 and determines the length of the optic nerve to ensure proper technique and placement of any subsequent implants. 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. Following the division of the optic nerve, the globe is extracted from the orbit. In the context of CPT® coding, this specific code, 65103, refers to enucleation with the placement of an implant that is not attached to the extraocular muscles, distinguishing it from other related codes that involve different techniques and implant configurations.