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CPT 65755: Penetrating Keratoplasty with Intraocular Lens Implantation
CPT code 65755 denotes a combined ophthalmic surgery: a full-thickness corneal transplant (penetrating keratoplasty) with insertion of an intraocular lens to replace the crystalline lens. This procedure is commonly performed for patients whose vision is impaired by corneal opacity and who also require lens replacement. Nationally, the code captures a clinically significant, resource‑intensive eye surgery that often involves specialized surgical centers and coordination across ophthalmology teams.
Key payers analyzed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise view of clinical context, typical settings of care, and payer coverage considerations relevant to this code. The publication also presents benchmark-oriented details and policy-related updates that affect billing, prior authorization trends, and payment pathways for complex ophthalmic procedures.
The report is organized to help clinicians, billing professionals, and policy analysts understand where CPT code 65755 fits in procedural coding, common service lines, and the broader implications for access and reimbursement of corneal transplant with intraocular lens implantation. Data not available in the input are identified where applicable.
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Billing Code Overview
CPT code 65755 describes a surgical procedure in which the surgeon performs a full-thickness corneal transplant (penetrating keratoplasty) and concurrently implants an intraocular lens to replace the crystalline lens. This combined procedure addresses visual impairment caused primarily by corneal opacity and concurrent lens pathology.
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Service type: Combined full-thickness corneal transplant with intraocular lens implantation (surgical ophthalmology procedure)
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Typical site of service: Operating room or ambulatory surgery center specializing in ophthalmic surgery