2025 CPT code 65750
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Eye and Ocular Adnexa Surgery Feed
Penetrating keratoplasty (corneal transplant) in aphakia.
Modifiers may be applicable depending on the circumstances of the service. Consult the official CPT modifier guidelines and payer-specific rules for appropriate modifier usage. For example, modifier 50 (bilateral procedure) may be used if both eyes are treated, or modifier 59 (distinct procedural service) if another service is performed on the same day.
Medical necessity for 65750 is established when a patient's corneal disease significantly impairs vision and threatens sight, and when less invasive treatments have proven ineffective or are inappropriate for the patient's condition.Documentation should clearly support the severity and impact of the corneal condition on vision.
The ophthalmologist or qualified surgeon is responsible for pre-operative evaluation, surgical procedure including corneal removal and replacement, and post-operative care.
In simple words: This is a surgery to replace a damaged cornea (the clear front part of your eye) with a healthy cornea from a donor.This specific type of surgery is done when the eye doesn't have a natural lens, which can happen from birth or after cataract surgery.
This code represents a penetrating keratoplasty, a corneal transplant procedure where the full thickness of the cornea is replaced with a donor cornea.This specific code, 65750, applies when the patient lacks a natural lens in the eye (aphakia), either congenitally or due to prior cataract surgery.The procedure involves the surgical removal of the diseased cornea using a trephine, preparation of the donor cornea, transplantation of the donor cornea, and securing it with sutures.
Example 1: A 70-year-old patient with a history of cataract surgery presents with significant corneal scarring and visual impairment.A penetrating keratoplasty (65750) is performed to replace the damaged cornea., A 25-year-old patient with congenital aphakia and severe corneal opacities undergoes penetrating keratoplasty (65750) to improve vision., A 55-year-old patient develops corneal ulceration post-cataract surgery requiring penetrating keratoplasty (65750).
Complete ophthalmologic examination report, including visual acuity measurements pre- and post-operatively, detailed surgical notes with specifics on the technique, donor cornea specifications (type, source, and preparation), intraoperative findings, pathology report (if applicable), post-operative course and recovery, and follow-up visits.
** Always confirm with payer specific guidelines and local coverage determination for additional requirements prior to billing.
- Revenue Code: P4A (EYE PROCEDURE - CORNEAL TRANSPLANT)
- RVU: The relative value units (RVUs) for CPT code 65750 vary based on geographic location, facility type (e.g., hospital outpatient, ASC), and other factors.Consult the appropriate fee schedules (Medicare, commercial payers) for specific RVU values and associated payment rates.
- Global Days : The global period for this procedure is dependent on payer and local policies.It's recommended to check with the specific payer for the applicable global period.
- Payment Status: Active
- Modifier TC rule: The Technical Component (TC) modifier does not apply to 65750 as the code encompasses both the professional and technical components of the procedure.
- Fee Schedule : Historical fee schedule data is not available in the provided data.Consult the CMS website or other relevant sources for historical reimbursement information.
- Specialties:Ophthalmology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center