CPT® Code 67560

The procedure described by CPT® Code 67560 involves the removal or revision of an orbital implant that is positioned outside the muscle cone. This type of implant is typically utilized for patients who have experienced significant tissue loss in the orbit, which may result from various factors such as trauma, surgical interventions, or radiation therapy. The process of managing these implants often requires collaboration between the physician and an anaplastologist, who specializes in the design and fitting of prosthetic devices. The procedure can be executed in either a single stage or a two-stage approach, depending on the specific needs of the patient and the complexity of the case. In the initial phase, titanium implants are strategically placed into the bone to serve as anchors for the prosthesis. The surgical technique involves making a skin incision at the designated site, followed by careful dissection of the soft tissues to expose the orbital periosteum. The preparation of the implant sites includes incising the periosteum and creating burr holes in the orbital bone, which are essential for the secure placement of the implants. After the implants are seated, the surrounding soft tissues are meticulously closed. In a one-stage procedure, healing abutments are placed to facilitate osseointegration, while in a two-stage procedure, cover screws are used, with subsequent steps taken after a healing period of approximately four to six months. The removal or revision of the orbital implant may be necessitated by complications such as infection or excessive skin mobility, which can lead to irritation. The procedure is comprehensive, addressing both the placement and potential complications associated with orbital implants, ensuring that patients receive the necessary care for optimal outcomes.