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CPT 66605: Excision of Ciliary Body Lesion with Iris/Cornea/Sclera
CPT code 66605 denotes surgical excision of a lesion on the ciliary body of the eye that requires removal of part of the iris, cornea, and/or sclera. This procedure is clinically significant because it addresses intraocular or juxtaocular lesions that may threaten vision or indicate malignancy; appropriate coding ensures accurate classification of complex ophthalmic surgery and supports consistent national reporting of surgical ophthalmology services. Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.
Readers will find a concise overview of the code's clinical intent and typical service setting, benchmarks for utilization and reimbursement where available, and relevant policy or billing considerations that affect national coverage and claims processing. The publication summarizes clinical context for when excision of ciliary body lesions is performed, common operative settings, and the implications for documentation and coding specificity. Data not available in the input is noted where applicable. The content is intended to inform billing professionals, clinical coders, and policy analysts about the role of CPT code 66605 in surgical ophthalmology practice and payer interactions at a national level.
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Billing Code Overview
CPT code 66605 describes a surgical procedure in which the provider excises a lesion on the ciliary body of the eye by removing part of the iris, cornea, and/or sclera. The service is an ophthalmic excision procedure involving intraocular structures and adjacent ocular surface tissues.
Service type: Surgical excision of an ocular ciliary body lesion.
Typical site of service: Operative suite or ambulatory surgery center with ophthalmic surgical capability; procedure performed under appropriate intraoperative anesthesia in a sterile surgical setting.