How To Use CPT Code 65260

CPT code 65260 describes the procedure for the removal of a foreign body from the posterior segment of the eye using a magnet. This article will cover the description, official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 65260?

CPT 65260 can be used to describe the removal of a metal object from the posterior segment of the eye using a magnet. The provider enters the eye from either the front or rear to access and remove the foreign body. This code specifically applies to cases where a magnet is utilized for extraction.

2. Official Description

The official description of CPT code 65260 is: ‘Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route.’

3. Procedure

1. The provider prepares and anesthetizes the patient for the procedure.
2. Using specialized instruments, the provider examines the anterior chamber, retina, and posterior chamber of the eye to locate the metallic intraocular foreign body.
3. An intraocular magnet is carefully inserted into the eye to attract and lift the foreign body.
4. Forceps are then used to grasp the foreign body from the magnet and remove it from the eye.
5. The provider thoroughly examines the area to ensure no fragments or debris remain.
6. The injury site is closed with sutures to promote healing.

4. Qualifying circumstances

CPT 65260 is applicable when a metallic foreign body is present within the posterior segment of the eye. This code specifically refers to cases where a magnet is used for extraction. The procedure may be performed by a specialist provider who is trained in intraocular surgeries.

5. When to use CPT code 65260

CPT code 65260 should be used when a provider performs the removal of a metallic foreign body from the posterior segment of the eye using a magnet. It is important to note that this code is specific to cases involving magnetic extraction. If a different method, such as forceps or irrigation, is used for removal, a different CPT code should be used.

6. Documentation requirements

To support a claim for CPT 65260, the provider must document the following information:

• Patient’s medical history and reason for the procedure
• Details of the foreign body, including its location within the eye
• Method of extraction, specifically noting the use of a magnet
• Any complications or additional procedures performed
• Post-procedure instructions and follow-up plans
• Provider’s signature and credentials

7. Billing guidelines

When billing for CPT 65260, ensure that the procedure involves the removal of a metallic foreign body from the posterior segment of the eye using a magnet. It is important to accurately document the details of the procedure and any additional services provided. CPT code 65260 should not be reported with other codes unless additional procedures or services are performed.

8. Historical information

CPT 65260 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition.

9. Examples

1. A patient presents with a metallic foreign body lodged in the posterior segment of their eye. The provider performs a magnetic extraction using CPT code 65260 to safely remove the object.
2. During an examination, a provider discovers a metal shard in the posterior segment of a patient’s eye. They utilize a magnet to extract the foreign body, documenting the procedure with CPT code 65260.
3. A patient experiences discomfort and blurred vision due to a metallic foreign body in the posterior segment of their eye. The provider performs a successful extraction using a magnet, accurately reporting the procedure with CPT code 65260.
4. After an accident, a patient presents with a metal fragment embedded in the posterior segment of their eye. The provider uses a magnet to carefully remove the foreign body, documenting the procedure with CPT code 65260.
5. A provider performs a magnetic extraction to remove a metallic foreign body from the posterior segment of a patient’s eye. They accurately report the procedure using CPT code 65260 to ensure proper reimbursement.