CPT® Code 65130

The CPT® Code 65130 refers to the procedure of inserting an ocular implant that is performed as a secondary intervention following evisceration, specifically within a scleral shell. Evisceration is a surgical procedure that involves the removal of the contents of the eye while leaving the scleral shell intact. In this context, the scleral shell is the outer protective layer of the eye that remains after the internal structures have been removed. The procedure begins with the careful opening of the closed scleral shell, if it has been previously sutured. An implant, which is a prosthetic device designed to replace the volume and shape of the removed ocular contents, is then selected based on the appropriate size needed for the individual patient. Once the implant is positioned within the scleral shell, the surgeon meticulously closes the sclera over the anterior surface of the implant. This closure is performed in a layered manner, which is crucial to ensure that the sclera does not contract excessively and that the implant remains securely in place, thereby preventing any potential extrusion of the implant. This procedure is essential for restoring the appearance of the eye and providing support for any subsequent prosthetic eye fitting.