2025 CPT code 65782
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Eye and Ocular Adnexa Surgery Feed
Ocular surface reconstruction using a limbal conjunctival autograft (includes obtaining the graft).
Modifiers 22, 50, 51, 52, 53, 54, 55, 56, 58, 59, 62, 73, 74, 76, 77, 78, 79 may apply depending on the specific circumstances of the procedure.Consult the CPT manual for detailed guidance.
Medical necessity is established when a patient has significant damage to the ocular surface that compromises visual acuity or causes debilitating symptoms, unresponsive to other treatment modalities.The procedure is medically necessary to improve vision, alleviate symptoms, and prevent further complications such as blindness.
The ophthalmologist is responsible for all aspects of the procedure, from pre-operative assessment and patient preparation to surgical technique, post-operative care, and follow-up. This includes selecting the donor and recipient sites, harvesting the autograft, meticulous surgical technique, and ensuring appropriate post-operative care to minimize complications and maximize healing.
In simple words: The doctor takes healthy tissue from one eye and moves it to the other eye to repair damage to the eye's surface caused by injury or disease. This involves removing damaged tissue, carefully placing the healthy tissue, and stitching it in place.Medicines and eye coverings are used afterward.
This procedure involves the reconstruction of the ocular surface using a limbal conjunctival autograft.The surgeon harvests a conjunctival autograft from a healthy area of the patient's own eye (donor eye).This graft, containing limbal stem cells crucial for corneal health, is then transplanted to the damaged area of the other eye (recipient eye).The procedure includes preparation of the recipient site, excision of diseased or damaged tissue, precise placement of the autograft, and suturing for secure fixation. Post-operative care involves antibiotic and steroid application, and the application of eye patches and shields.
Example 1: A patient presents with significant corneal damage due to a chemical burn.A limbal conjunctival autograft is necessary to restore the corneal surface and vision., A patient with Stevens-Johnson syndrome experiences severe damage to the ocular surface.The use of a limbal conjunctival autograft is indicated to reconstruct the damaged tissue and alleviate symptoms., A patient with recurrent corneal erosions due to limbal stem cell deficiency undergoes a limbal conjunctival autograft to restore the corneal epithelium and reduce the frequency and severity of erosions.
Detailed ophthalmological examination including photography of the affected eye(s) before, during, and after surgery.Complete medical history including any relevant allergies and previous treatments.Operative report detailing surgical technique, graft size, and any complications.Post-operative visual acuity measurements and imaging.Complete documentation of medications administered.
** None provided.
- Revenue Code: P4E (EYE PROCEDURE - OTHER)
- RVU: This information is not available in the provided source.RVUs vary by location and payer.
- Global Days: This information is not provided in the source.The global period will depend on payer and local guidelines.
- Payment Status: Active
- Modifier TC rule: Information on TC modifier applicability is not available in the provided source.
- Fee Schedule: This information is not available in the provided source. Fee schedules vary by payer and location.
- Specialties:Ophthalmology
- Place of Service:Ambulatory Surgical Center, Hospital Outpatient, Office