How To Use CPT Code 65272

CPT 65272 describes the procedure for repairing a laceration in the conjunctiva, the transparent membrane that covers the eye. This article will cover the description, official details, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 65272?

CPT 65272 is used to describe the repair of a laceration in the conjunctiva, without the need for hospitalization. The provider will rearrange and mobilize the tissues to close the wound, ensuring that the edges of the laceration come together properly.

2. Official Description

The official description of CPT code 65272 is: ‘Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization.’

3. Procedure

1. The provider begins by inspecting the area of injury after the patient has been appropriately prepped and anesthetized.
2. Next, the provider cleanses the tissue margins carefully to ensure a clean environment for the repair.
3. Using small incisions as necessary, the provider rearranges the tissue to cover the laceration.
4. The provider then sutures all the wound edges to ensure proper closure.

4. Qualifying circumstances

CPT 65272 is used when a patient has a laceration in the conjunctiva that requires repair. The procedure does not require hospitalization, and the provider must mobilize and rearrange the tissues to close the wound properly.

5. When to use CPT code 65272

CPT code 65272 should be used when a provider performs a repair of a laceration in the conjunctiva without the need for hospitalization. It is important to ensure that the provider mobilizes and rearranges the tissues to close the wound properly.

6. Documentation requirements

To support a claim for CPT 65272, the provider must document the following information:

• Patient’s diagnosis and the need for laceration repair
• Details of the procedure, including mobilization and rearrangement of tissues
• Date and time of the procedure
• Any additional relevant information or complications
• Provider’s signature

7. Billing guidelines

When billing for CPT 65272, ensure that the procedure does not require hospitalization. It is important to follow the specific guidelines for reporting this code accurately. If hospitalization is necessary, report CPT code 65273 instead. Review the documentation requirements and ensure all necessary information is included in the claim.

8. Historical information

CPT 65272 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 laceration in the conjunctiva, and the provider performs a mobilization and rearrangement procedure to close the wound without hospitalization.
2. During an examination, the provider identifies a tear in the conjunctiva and performs a repair procedure using mobilization and rearrangement techniques.
3. A patient sustains an injury to the conjunctiva, and the provider performs a laceration repair without the need for hospitalization.
4. After assessing a laceration in the conjunctiva, the provider decides to perform a mobilization and rearrangement procedure to close the wound.
5. A patient undergoes a repair procedure for a laceration in the conjunctiva, and the provider successfully mobilizes and rearranges the tissues to achieve proper closure.
6. During a routine eye examination, the provider discovers a laceration in the conjunctiva and performs a repair procedure without the need for hospitalization.
7. A patient presents with a laceration in the conjunctiva, and the provider performs a mobilization and rearrangement procedure to close the wound.
8. After assessing a tear in the conjunctiva, the provider decides to perform a repair procedure using mobilization and rearrangement techniques.
9. A patient sustains an injury to the conjunctiva, and the provider performs a laceration repair without hospitalization.
10. During an examination, the provider identifies a laceration in the conjunctiva and performs a repair procedure using mobilization and rearrangement techniques.