CPT® Code 65135

The procedure described by CPT® Code 65135 involves the insertion of an ocular implant following the enucleation of the eye, specifically when the extraocular muscles are not attached to the implant. Enucleation refers to the surgical removal of the eye, and this procedure is typically performed in cases of severe trauma, malignancy, or other conditions that necessitate the removal of the eye. During the insertion of the ocular implant, if the eyelid has been previously closed with sutures, these sutures are opened to allow for inspection of the muscle cone, which is the area where the implant will be placed. An appropriately sized ocular implant, made from porous materials such as mesh or biosynthetic substances, is selected for insertion. The design of these implants allows surrounding tissue to grow into the porous structure, which helps to secure the implant within the muscle cone over time. It is important to note that in this specific procedure, the ocular implant is not attached to the extraocular muscles, distinguishing it from other related procedures, such as CPT® Code 65140, where the muscles are sutured to the implant. This distinction is crucial for accurate coding and understanding of the surgical approach taken during the procedure.