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CPT 65275: Corneal Laceration Repair
CPT code 65275 represents surgical repair of a corneal laceration, a procedure to close tears in the cornea and remove any foreign material from the wound. This code captures an acute ophthalmic surgical intervention that can be vision-saving and often requires coordinated surgical and perioperative care. Nationally, corneal repair procedures are significant for trauma care pathways, emergency ophthalmology services, and surgical resource planning.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find clinical context for when 65275 is used, typical sites of service, and an overview of billing considerations relevant to acute eye trauma. The publication outlines benchmarks and policy-relevant issues affecting coverage and payment for ophthalmic trauma procedures, and provides guidance on documentation elements that support billing for procedural complexity and concurrent foreign body removal. Where specific payer policies are not available in the input, the text notes that data is not available in the input.
This summary is intended for clinicians, billing professionals, and policy analysts seeking a concise national overview of CPT code 65275, its clinical role, and the payer landscape that commonly reimburses for corneal laceration repair.
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Billing Code Overview
CPT code 65275 describes surgical repair of a corneal laceration or tear. The procedure involves closure of the corneal wound and includes removal of any foreign body present within the wound. This is an ophthalmic surgical service addressing acute traumatic or iatrogenic injuries to the cornea.
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Service type: Ophthalmic surgical repair of corneal laceration
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Typical site of service: Ambulatory surgery center or hospital operating room (eye surgery suite) depending on injury severity and facility capabilities
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