2025 CPT code 65272
Effective Date: N/A Surgery - Surgical Procedures on the Eye and Ocular Adnexa Feed
Repair of laceration of the conjunctiva by mobilization and rearrangement, without requiring hospitalization.
Modifiers may be applicable.Refer to current CPT guidelines for appropriate usage.
Medical necessity for 65272 is established by the presence of a conjunctival laceration that requires more than simple closure to restore anatomical integrity and function.Documentation must support the complexity of the repair necessitating mobilization and rearrangement of tissues.
The physician prepares the patient and administers anesthesia.The area of injury is inspected and cleansed.The physician then rearranges the conjunctival tissue, making small incisions as necessary to cover the wound and then sutures the edges closed.
In simple words: This procedure repairs a tear in the clear surface of your eye, requiring some rearranging of the tissue to close it properly.It doesn't require a hospital stay.
This procedure describes the repair of a conjunctival laceration (a tear in the transparent membrane covering the eye) that necessitates the mobilization and rearrangement of tissues for effective closure.This is typically done when the edges of the laceration cannot be directly approximated with a simple closure. It is performed on an outpatient basis, not requiring hospitalization.
Example 1: A patient presents with a jagged laceration of the conjunctiva following a workplace accident involving a metal shard. Due to the irregular edges of the wound, mobilization and rearrangement of the conjunctival tissue are required to achieve closure. The procedure is performed in an outpatient setting., A child is brought to the emergency room after being scratched in the eye by a cat. The scratch has caused a complex laceration to the conjunctiva that requires meticulous rearrangement of the tissue for repair. The child is able to go home the same day., An adult sustains a conjunctival laceration during a sporting event. The edges of the laceration are uneven and require mobilization to close the defect effectively.The procedure is performed under local anesthesia in a clinic setting.
Documentation should include the cause and location of the laceration, the complexity of the repair (including the need for mobilization and rearrangement), the type of anesthesia used, and any complications encountered.The operative report must describe the extent of the laceration, the method of repair, and the final result.
- Revenue Code: P4E - EYE PROCEDURE - OTHER
- Specialties:Ophthalmology
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center, Emergency Room - Hospital