2025 CPT code 65730
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Eye and Ocular Adnexa Surgery Feed
Penetrating keratoplasty (corneal transplant) excluding aphakia or pseudophakia.
Modifiers such as 50 (bilateral procedure), 51 (multiple procedures), 52 (reduced services), and others may be applicable depending on the specific circumstances of the procedure.
Medical necessity for penetrating keratoplasty is established based on the presence of corneal disease or injury significantly impacting visual acuity or causing pain and discomfort.The procedure is generally indicated when other conservative measures have failed to improve the patient's condition.
The ophthalmologist or surgeon is responsible for all aspects of the procedure, including patient preparation, anesthesia administration (if applicable), corneal tissue removal using a trephine, donor cornea preparation and implantation, and suture placement. Postoperative care and follow-up are also the responsibility of the surgeon.
In simple words: This is a surgery to replace a damaged part of the cornea (the clear front of your eye) with healthy tissue from a donor.It's done when the entire thickness of the cornea needs replacing, and only if you haven't already had cataract surgery or a lens replacement.
Penetrating keratoplasty, also known as a full-thickness corneal transplant, involves the surgical removal of a diseased or damaged circular section of the cornea and its replacement with a similarly sized, healthy donor cornea.The procedure is performed on patients without aphakia (absence of the eye's lens) or pseudophakia (presence of an artificial intraocular lens).A trephine is typically used to create the precise circular cut, and the new cornea is secured using interrupted or running sutures.The preparation of the donor material is included.
Example 1: A 60-year-old patient presents with significant corneal scarring due to a chemical burn, resulting in severely impaired vision.A penetrating keratoplasty is performed to replace the damaged cornea with a donor graft., A 45-year-old patient with keratoconus experiences progressive vision loss. Penetrating keratoplasty is chosen to restore visual acuity by replacing the irregularly shaped cornea with a healthy donor cornea., A 30-year-old patient with a history of corneal dystrophy suffers from blurry vision and discomfort.The patient undergoes penetrating keratoplasty to improve both visual acuity and comfort.
** Consider using appropriate modifiers to reflect the complexity of the procedure and the use of specific techniques.Consult payer specific guidelines for reimbursement information.
- Revenue Code: P4A (EYE PROCEDURE - CORNEAL TRANSPLANT)
- Payment Status: Active
- Specialties:Ophthalmology
- Place of Service:Ambulatory Surgical Center, Inpatient Hospital, Outpatient Hospital