CPT® Code 65140

The CPT® Code 65140 refers to the procedure of inserting an ocular implant that is performed after the enucleation of the eye. This procedure is specifically designed for cases where the eye has been removed, and it involves the placement of an ocular implant into the muscle cone, which is the area where the eye muscles are located. The insertion of the implant is a critical step in providing a foundation for the artificial eye, allowing for better cosmetic appearance and potential movement. During this procedure, if the eyelid has been previously closed with sutures, the surgeon will first open the eyelid to inspect the muscle cone. An ocular implant, which is typically made from a porous material such as mesh or biosynthetic substances, is then selected based on the appropriate size for the patient. Unlike the procedure described in CPT® Code 65135, where the implant is not attached to the extraocular muscles, in CPT® Code 65140, the muscles are sutured directly to the implant. This connection is facilitated by the porous nature of the implant, which allows the surrounding tissue to grow into it over time, providing stability and integration within the muscle cone. The successful insertion of the ocular implant is essential for achieving a natural appearance and function for the patient following enucleation.