2025 CPT code 66250
(Active) Effective Date: N/A Surgery - Surgical Procedures on the Eye and Ocular Adnexa Feed
Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure.
Modifiers are allowed. Refer to the provided list for appropriate usage.
Medical necessity for 66250 must be supported by documentation justifying the need for the revision or repair of the anterior segment wound, such as wound dehiscence, leakage, infection, or other complications impacting the eye's health or visual function.
In simple words: This procedure involves fixing a surgical cut in the front part of your eye that happened during a previous operation.
This code encompasses the repair or revision of an operative wound in the anterior segment of the eye, regardless of the timing (early or late) or complexity (major or minor) of the procedure.
Example 1: A patient undergoes cataract surgery and experiences a wound dehiscence (splitting open of the wound) a few days later.The ophthalmologist performs a revision of the operative wound using sutures to close it properly. This would be billed as 66250., During a corneal transplant, a small tear occurs in the peripheral cornea. The surgeon repairs this tear immediately during the primary procedure.Despite being performed during the initial surgery, the repair is a distinct procedure and can be reported with 66250., Months after glaucoma surgery, a patient develops filtering bleb leakage. The ophthalmologist revises the bleb to stop the leak. Although occurring late after the initial surgery, this repair is billed using 66250.
Documentation should include details of the original surgical wound, the reason for the revision/repair, the technique used for the repair, and any complications encountered.It should clearly state whether the repair was early or late, major or minor.
- Revenue Code: P4E - EYE PROCEDURE - OTHER
- Specialties:Ophthalmology
- Place of Service:Ambulatory Surgical Center, Hospital, Office