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CPT 65875: Incisional Lysis of Posterior Synechiae, Anterior Segment
CPT code 65875 denotes an incisional ophthalmic procedure to sever posterior synechiae of the anterior segment, often performed as part of glaucoma management to restore anterior chamber anatomy and facilitate aqueous flow. Nationally, this code matters because it captures a focused anterior segment surgical intervention used by ophthalmic surgeons and impacts commercial and Medicare outpatient surgical utilization and payment for glaucoma-related care. Payers in scope include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.
This publication provides a concise clinical and billing profile for 65875, covering expected settings of care, common procedural context, and the types of benchmarks and policy topics readers can expect: utilization benchmarks for ambulatory surgical centers and hospital outpatient departments, payer coverage patterns and prior authorization trends, and clinical context regarding when incision-based lysis of posterior synechiae is used in glaucoma treatment. Where specific data fields were not supplied in the source, the text notes that data are not available in the input. The goal is to give payers, revenue cycle teams, and clinicians a clear national-level reference for coding, site-of-service expectations, and areas where payer policy or utilization management may affect use of CPT code 65875.
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Billing Code Overview
CPT code 65875 describes an incisional procedure to sever posterior synechiae in the anterior segment of the eye, performed with or without injection of air or liquid, typically as a treatment step in glaucoma management. The procedure uses an incision-based technique to break adhesions between the iris and the lens or cornea (posterior synechiae) to restore anterior chamber anatomy and improve aqueous flow.
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Service type: Surgical, anterior segment ophthalmic procedure
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Typical site of service: Ambulatory surgical center or hospital outpatient department