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CPT 65265: Removal of Nonmetallic Foreign Body from Posterior Segment of Eye
CPT code 65265 designates surgical removal of a nonmetallic foreign body from the posterior segment (back two-thirds) of the eye. This code captures a specialized intraocular operative service that is clinically significant due to its association with vision-threatening injuries and the need for ophthalmic surgical expertise and facility resources. Nationally, accurate coding for these procedures affects clinical documentation, reimbursement pathways, and resource planning for acute ocular trauma care.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the clinical context for posterior segment foreign body extraction, expected sites of service, and payer coverage considerations. The publication also outlines common billing modifiers (provided) and notes where input data is incomplete.
The report is organized to help clinical coders, billing managers, and policy analysts understand what CPT code 65265 represents, typical service delivery settings, and the national relevance of accurate coding. Benchmarks, policy implications, and clinical context are presented to inform operational planning and billing compliance. Data not available in the input is clearly identified where applicable.
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Billing Code Overview
CPT code 65265 describes a procedure in which a provider extracts a nonmetallic foreign body from the posterior segment (the back two-thirds) of the eye. The service involves intraocular removal of a nonmetallic object that has penetrated or is located within the vitreous, retina, choroid, or other structures of the posterior segment.
Service type: Operative ophthalmic procedure — posterior segment foreign body removal
Typical site of service: Hospital operating room or ambulatory surgical center
Data not available in the input.