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CPT 65272: Conjunctival Laceration Repair with Tissue Rearrangement
CPT code 65272 denotes surgical repair of a conjunctival laceration where wound edges are jagged and require tissue mobilization or rearrangement to close. This ophthalmic soft-tissue procedure is performed on an outpatient basis—commonly in ambulatory surgical centers, hospital outpatient departments, or office-based procedure suites—and is relevant to emergency, trauma, and ophthalmology surgical care nationally. The code matters because it captures a distinct level of complexity compared with simple conjunctival repairs and informs payment, quality measurement, and resource planning for eye trauma services.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find concise clinical context for when 65272 is reported, typical sites of service, and how the code is used to distinguish repairs requiring tissue rearrangement versus primary closure. The publication summarizes benchmarks and payment patterns where available, highlights policy considerations affecting outpatient ophthalmic procedural billing, and outlines operational implications for coding accuracy and documentation. Data not available in the input is noted where applicable.
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Billing Code Overview
CPT code 65272 describes repair of a conjunctival laceration with tissue mobilization or rearrangement. The procedure addresses a tear in the conjunctiva where wound edges are jagged and do not approximate directly, requiring surgical manipulation of surrounding tissues to achieve closure. The repair is typically performed on a single eye and does not require inpatient hospitalization.
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Service type: Surgical ophthalmic procedure for soft tissue repair of the eye (conjunctiva)
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Typical site of service: Ambulatory surgical center or hospital outpatient department; may also be performed in an ophthalmologist's office procedure suite depending on clinical judgment and facility capabilities.
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