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CPT 65767: Corneal Refractive Surgery for Ametropia
CPT code 65767 represents a corneal refractive surgery used to improve vision in patients with ametropia caused by irregular corneal shape. Nationally, this code captures surgical interventions aimed at correcting corneal-induced refractive errors and is relevant to ophthalmology practices, ambulatory surgery centers, and hospital outpatient departments. It matters for payers and providers because coverage, coding accuracy, and facility allocation affect clinical workflows and reimbursement pathways.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The analysis covers payer coverage patterns, common modifiers used with this service, and the clinical context for using corneal surgery to address ametropia.
Readers will find a concise clinical description, the typical sites of service, and an outline of the operational considerations tied to CPT code 65767. The publication includes benchmark-focused content where available, summaries of policy and coding considerations, and clinical context to clarify when this procedure is reported. Data not available in the input will be explicitly noted where applicable.
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Billing Code Overview
CPT code 65767 describes a corneal surgery procedure performed to improve visual acuity for patients with ametropia, a refractive condition caused by an irregular corneal shape that prevents images from focusing on the retina. The procedure involves surgical modification of the cornea to reduce or correct the refractive error.
Service Type: Ophthalmic surgical procedure, corneal refractive surgery
Typical Site of Service: Hospital outpatient department or ambulatory surgery center (eye surgery suite)