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CPT 65290: Suture Repair of Ocular Muscle, Tendon, or Tenon’s Capsule
CPT code 65290 denotes surgical suturing of a wound to the muscle, tendon, and/or Tenon’s capsule of the eye. This ophthalmic soft-tissue repair is used when trauma or surgical complications produce defects in extraocular muscles or adjacent connective tissues that require operative closure. Nationally, accurate coding for this procedure affects clinical documentation, surgical scheduling, and claim adjudication for eye trauma and reconstructive ophthalmic cases.
Key payers relevant to this code include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the procedure’s clinical context and typical sites of service, plus what to expect in terms of coding classification and related administrative considerations.
This publication provides benchmarks and coding guidance context, highlights common billing considerations for ocular muscle and Tenon’s capsule repairs, and summarizes policy-relevant points that affect reimbursement and claims processing for this class of ophthalmic procedures. Data not available in the input.
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Billing Code Overview
CPT code 65290 describes the suturing of a wound involving the muscle, tendon, and/or Tenon’s capsule of the eye. This service is an ocular soft-tissue repair procedure addressing structural damage to extraocular muscles or related connective tissue.
Service type: Surgical repair of ocular muscle/tendon/Tenon’s capsule
Typical site of service: Hospital operating room, ambulatory surgery center, or ophthalmic surgical suite
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