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2025 CPT code 65220

Removal of a foreign body from the cornea without using a slit lamp.

* Use this code only for removal of corneal foreign bodies without a slit lamp.* Do not use modifier 51 (multiple procedures) with this code.* Modifier 22 (increased procedural services) may be considered if the procedure was significantly more complex than usual, with appropriate documentation.

Modifiers 22 may be applicable in certain circumstances.

Medical necessity is established when a foreign body is present in the cornea causing symptoms such as pain, discomfort, irritation, or visual impairment. Removal is necessary to prevent complications like infection, corneal ulceration, and vision loss.

The ophthalmologist or other qualified healthcare professional is responsible for preparing the patient's eye, administering anesthesia, removing the foreign body using appropriate instruments, and post-procedure care including patching the eye.

IMPORTANT:For removal of implanted material, use codes 65175 (ocular implant), 65920 (anterior segment implant), 67120 (posterior segment implant), or 67560 (orbital implant). For diagnostic x-ray for foreign body, use 70030. For diagnostic echography for foreign body, use 76529. For removal of foreign body from orbit (frontal approach), use 67413; (lateral approach), use 67430. For removal of foreign body from eyelid (embedded), use 67938. For removal of foreign body from lacrimal system, use 68530.Do not report code 69990 in addition to codes 65091-68850.

In simple words: The doctor removes a small object from the surface of your eye without using a special magnifying light. They clean your eye, find the object, and gently take it out.Then, they put a patch on your eye.

This procedure involves the removal of a foreign object from the cornea without the aid of a slit lamp.The process begins with preparing and anesthetizing the patient's eye. The provider then washes the eye with a sterile solution, inspects the surface to locate the foreign body, and uses a needle and swab or a moistened cotton-tipped applicator to carefully remove the object.The eye is then patched.

Example 1: A construction worker gets a small piece of metal in his eye. The ophthalmologist uses 65220 to remove the foreign body without a slit lamp., A child rubs their eye and a small particle of sand becomes embedded in the cornea.The ophthalmologist uses 65220 to remove the sand particle after anesthetizing the eye., During a woodworking project, a small splinter of wood lodges in a patient's cornea. The physician uses 65220 to remove the splinter using a moistened cotton-tipped applicator.

* Thorough history and physical examination including visual acuity assessment.* Detailed description of the foreign body (type, size, location).* Documentation of the procedure performed, including instruments used and any complications.* Post-operative assessment of visual acuity and any residual effects.

** This code is typically used for relatively simple corneal foreign body removals where the use of a slit lamp is not necessary. For more complex cases, other codes may be more appropriate.

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