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CPT 65756: Full‑Thickness Corneal Transplant for Endothelial Replacement
CPT code 65756 denotes a full-thickness corneal transplant (penetrating keratoplasty) performed to replace a damaged corneal endothelium. This surgical procedure is a key treatment option for advanced corneal endothelial disease that compromises vision and corneal clarity. As a nationally recognized CPT code, 65756 is relevant to ophthalmic surgeons, hospital billing departments, ambulatory surgical centers, and payers managing coverage for complex anterior segment surgeries.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of clinical context for corneal transplantation, typical sites of service, and common billing considerations associated with this procedure. The publication also outlines benchmarks and payer coverage patterns, summarizes relevant policy updates affecting corneal transplant authorization and coverage, and explains coding nuances that can influence reimbursement and claim adjudication.
This summary equips clinicians, coding professionals, and policy analysts with concise information on the clinical purpose of CPT code 65756, where the procedure is typically performed, and which major payers commonly cover it. Data not available in the input is noted where applicable.
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Billing Code Overview
CPT code 65756 describes a full-thickness corneal transplant performed to replace a damaged corneal endothelium. The procedure involves removing the recipient's diseased corneal tissue and transplanting a donor cornea to restore corneal clarity and visual function.
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Service type: Surgical procedure — full-thickness corneal transplantation (penetrating keratoplasty) for endothelial disease
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Typical site of service: Hospital operating room or ambulatory surgical center where ophthalmic surgical procedures are performed