2025 CPT code 68335
Effective Date: N/A Surgery - Surgical Procedures on the Eye and Ocular Adnexa Feed
Repair of symblepharon with free graft of conjunctiva or buccal mucous membrane (includes obtaining the graft).
Modifiers may be applicable to this code to indicate specific circumstances, such as increased procedural services (22), bilateral procedures (50), or distinct procedural service (59).
Medical necessity for this procedure is established by the presence of a symblepharon that impairs vision, causes discomfort, or limits eye movement.
The surgeon prepares the patient and administers anesthesia.Scar tissue and adhesions are removed between the eyelid and eyeball. Fibrotic tissue is dissected away, and healthy conjunctiva is advanced and secured with sutures.A graft is used to repair the defect.
In simple words: This procedure corrects abnormal tissue connecting the eyelid to the eyeball.The surgeon uses a small graft of tissue, either from the eye's surface or the inside of the cheek, to rebuild the affected area.
This procedure involves the repair of a symblepharon, which is an adhesion between the eyelid and the eyeball, using a free graft of either conjunctiva or buccal mucous membrane. The procedure includes obtaining the necessary graft material.
Example 1: A patient with a chemical burn causing symblepharon formation requires surgical repair with a buccal mucous membrane graft., A patient with Stevens-Johnson Syndrome develops symblepharon, necessitating repair with a free conjunctival graft., Post-surgical complications lead to symblepharon in a patient, requiring surgical intervention and a graft for repair.
Documentation should include the cause of the symblepharon, the type of graft used, the size and location of the defect, and the surgical technique employed.
- Specialties:Ophthalmology, Oculoplastic Surgery
- Place of Service:Ambulatory Surgical Center, Hospital Outpatient, Physician's Office