CPT Code 65710 | Description & Clinical Information

CPT 65710 describes the surgical procedure in which the provider replaces the diseased anterior portion of the cornea by performing a corneal transplant of the anterior lamellar region.

Official Description

The CPT book defines CPT code 65710 as: “Keratoplasty (corneal transplant); anterior lamellar”.

Clinical Information

The procedure described by CPT code 65710 is known as anterior lamellar keratoplasty. This surgical procedure is used to treat certain corneal conditions, including corneal scarring, dystrophies, and degenerations. It involves the removal of the anterior corneal stroma and the transplantation of a cadaver donor cornea onto the recipient’s cornea.

Before the procedure can begin, the patient needs to be appropriately prepped and anesthetized. Once this has been done, the provider will use one of several techniques to perform the procedure. One commonly used technique involves inserting a needle attached to a syringe into the deep stroma toward the center of the cornea. The provider then injects air into the stroma until a well-demarcated big bubble forms.

Once the big bubble has formed, the provider will use a surgical blade to remove the anterior corneal stroma. This is followed by the use of blunt scissors to excise the remaining stroma. This is an essential step as it allows for the removal of any damaged or diseased tissue.

After the anterior corneal stroma has been removed, the cadaver donor cornea is secured to the recipient bed using different suturing techniques. These techniques ensure that the cornea is held in place and that there is minimal risk of complications.

Anterior lamellar keratoplasty is a delicate surgical procedure that requires considerable skill and expertise. The procedure is usually performed under a microscope, and the provider needs to be very precise during each step. This is critical as small errors can have significant consequences.

Despite the risks involved, anterior lamellar keratoplasty is a highly effective treatment for certain corneal conditions. Patients who undergo this procedure typically experience improved vision and a reduced need for contact lenses or glasses.

In summary, CPT code 65710 describes a surgical procedure known as anterior lamellar keratoplasty. This procedure is used to treat specific corneal conditions and involves the removal of the anterior corneal stroma and transplantation of a cadaver donor cornea. While there are risks involved, the procedure is highly effective and can significantly improve patients’ vision and quality of life.

Return to all the CPT codes for keratoplasty procedures on the cornea.