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2025 CPT code 65222

Removal of foreign body, external eye; corneal, with slit lamp.

Do not report 65222 if the foreign body removal is part of a more complex corneal procedure.For multiple foreign bodies removed from the same cornea during the same encounter, bill 65222 only once.Modifier 22 may be appended if the procedure is significantly more complex than usual, with detailed documentation supporting the increased complexity.

Modifiers applicable to this code include:-22 (Increased procedural services)-50 (Bilateral procedure)-RT (Right side)-LT (Left side)

Medical necessity for this procedure is established by the presence of a foreign body on the cornea causing discomfort, visual disturbance, or posing a risk of further injury.

The ophthalmologist is responsible for the entire procedure, from prepping and anesthetizing the patient to removing the foreign body and patching the eye.This includes proper identification of the foreign body and ensuring its complete removal.

IMPORTANT:For removal of foreign body, external eye, corneal, without slit lamp, use 65220.

In simple words: The doctor removes something stuck on the surface of your eye (the cornea) using a special magnifying light and tools.They will numb your eye first and then clean it afterwards.

This procedure involves the removal of a foreign object from the cornea using a slit lamp, a specialized lighting device for examining the eye. After preparing the patient and administering anesthesia, the eye is irrigated with a sterile solution. The provider then uses the slit lamp to locate the foreign body on the corneal surface. A needle or swab is used to remove the object. Any remaining fragments are removed with a moistened cotton applicator, and the eye is patched.

Example 1: A patient presents with a metal shaving embedded in their cornea after working with machinery.The ophthalmologist uses a slit lamp to visualize and remove the foreign body using code 65222., A patient experiences eye irritation after gardening. Examination reveals a small piece of wood on the cornea. The ophthalmologist uses a slit lamp to precisely locate and remove the foreign body, billing with code 65222., A patient reports a foreign body sensation in their eye after a windy day at the beach.A small sand particle is found on the cornea. The ophthalmologist uses a slit lamp for clear visualization and removes the particle using code 65222.

Documentation should include details about the foreign body (size, material, location), the method of removal, use of anesthesia, and the post-removal condition of the cornea. Any complications should also be documented. It's crucial to explicitly note the use of the slit lamp.

** Code 65222 is specifically for corneal foreign body removal using a slit lamp. If a slit lamp is not used, use code 65220. This code represents a single procedure, regardless of the number of foreign bodies removed from the same cornea during the same encounter.

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