How To Use CPT Code 65450

CPT 65450 describes the removal or destruction of a corneal lesion using cryotherapy, photocoagulation, or thermocauterization. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 65450?

CPT 65450 is used to describe the removal or destruction of a corneal lesion. This can be done using cryotherapy, photocoagulation, or thermocauterization. Cryotherapy involves the use of cold therapy to destroy or remove the lesion, while photocoagulation uses light to form a clot, and thermocauterization involves the burning of living tissue using a laser beam.

2. Official Description

The official description of CPT code 65450 is the removal or destruction of a corneal lesion using cryotherapy, photocoagulation, or thermocauterization.

3. Procedure

1. The provider prepares the patient and administers anesthesia.
2. The provider then excises the corneal lesion using a blade.
3. After excision, the provider performs cryodestruction by freezing and thawing the lesion using a cryoprobe placed transcorneally.
4. Alternatively, the provider may use photocoagulation by directing a laser beam at the lesion to destroy it.
5. Another option is thermocauterization, where the provider utilizes a heat probe to directly burn the lesion.

4. Qualifying circumstances

CPT 65450 is used when there is a corneal lesion that requires removal or destruction. The patient must be appropriately prepped and anesthetized for the procedure. The provider must have the necessary skills and qualifications to perform the procedure using cryotherapy, photocoagulation, or thermocauterization.

5. When to use CPT code 65450

CPT code 65450 should be used when there is a corneal lesion that needs to be removed or destroyed using cryotherapy, photocoagulation, or thermocauterization. It is important to ensure that the procedure is medically necessary and appropriate for the patient’s condition.

6. Documentation requirements

To support a claim for CPT 65450, the provider must document the following information:

• Patient’s diagnosis and the need for removal or destruction of the corneal lesion
• Details of the procedure performed, including the specific technique used (cryotherapy, photocoagulation, or thermocauterization)
• Date of the procedure
• Any complications or additional procedures performed
• Signature of the provider

7. Billing guidelines

When billing for CPT 65450, ensure that the procedure meets the necessary criteria for reimbursement. It is important to follow the correct coding guidelines and include any required modifiers. CPT code 65450 should not be reported with other codes unless specific circumstances warrant it.

8. Historical information

CPT 65450 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates to the code since its addition.

9. Examples

1. A patient undergoes cryotherapy to remove a corneal lesion caused by trauma.
2. A provider uses photocoagulation to destroy a corneal lesion caused by a viral infection.
3. A patient with a corneal lesion undergoes thermocauterization to remove the damaged tissue.
4. A provider performs cryotherapy to remove a corneal lesion that is causing vision impairment.
5. A patient undergoes photocoagulation to destroy a corneal lesion that is causing discomfort and irritation.
6. A provider uses cryotherapy to remove a corneal lesion that is suspected to be cancerous.
7. A patient with a corneal lesion undergoes thermocauterization to remove the lesion and prevent further damage.
8. A provider performs photocoagulation to destroy a corneal lesion that is causing recurrent infections.
9. A patient undergoes cryotherapy to remove a corneal lesion that is affecting their ability to wear contact lenses.
10. A provider uses thermocauterization to remove a corneal lesion that is causing significant pain and discomfort.