How To Use CPT Code 65771

CPT code 65771 describes a surgical procedure known as radial keratotomy, which is used to correct myopia or nearsightedness. This article will provide a detailed analysis of the official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 65771?

CPT 65771 is a code used to describe the surgical procedure called radial keratotomy. This procedure involves the provider making small incisions in the cornea to flatten it and reduce myopia. It is typically performed on patients who are nearsighted and aims to improve their vision by changing the shape of the cornea.

2. Official Description

The official description of CPT code 65771 is not available. However, it is a surgical procedure that involves making small incisions in the cornea to correct myopia.

3. Procedure

1. During radial keratotomy, the patient’s affected eye is appropriately prepped and anesthetized.
2. The provider then uses an eyelid speculum to hold the patient’s eye open.
3. Several small incisions are made in the anterior surface of the central cornea.
4. The incisions can be made from the center of the cornea to the edges or from the edges to the center, depending on the desired change in corneal shape.
5. After the procedure, antibiotic ointment is applied, and an eye patch is placed over the eye.

4. Qualifying circumstances

Radial keratotomy is typically performed on patients with myopia or nearsightedness. The procedure is suitable for individuals who have a specific corneal shape that can be corrected through incisions. It is important to note that not all patients with myopia are eligible for radial keratotomy, as the procedure’s suitability depends on various factors, including the patient’s overall eye health and corneal thickness.

5. When to use CPT code 65771

CPT code 65771 should be used when a provider performs radial keratotomy to correct myopia. It is important to ensure that the procedure is medically necessary and appropriate for the patient’s condition. Other treatment options and considerations should be explored before deciding to proceed with radial keratotomy.

6. Documentation requirements

To support a claim for CPT code 65771, the provider must document the following information:

• Patient’s diagnosis of myopia
• Details of the procedure, including the number and location of incisions made
• Any complications or adverse events that occurred during or after the procedure
• Post-operative care instructions provided to the patient
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT code 65771, it is important to ensure that the procedure performed aligns with the description of radial keratotomy. The provider should also verify that the patient’s insurance covers the procedure and that any necessary pre-authorization or documentation requirements are met. It is advisable to review the specific billing guidelines provided by the payer to ensure accurate and timely reimbursement.

8. Historical information

CPT code 65771 was added to the Current Procedural Terminology system on January 1, 1991. There have been no updates or changes to the code since its addition.

9. Examples

1. A patient with severe myopia undergoes radial keratotomy to correct their vision.
2. A provider performs radial keratotomy on a young adult who wishes to reduce their dependence on glasses or contact lenses.
3. A patient with myopia and thin corneas undergoes radial keratotomy as an alternative to other refractive surgeries.
4. A provider performs radial keratotomy on a patient who has experienced a significant deterioration in their vision due to myopia.
5. A provider performs radial keratotomy on a patient who is unable to tolerate contact lenses or is not a suitable candidate for laser vision correction.
6. A patient with myopia and a stable prescription undergoes radial keratotomy to improve their distance vision.
7. A provider performs radial keratotomy on a patient who desires a permanent correction for their myopia.
8. A patient with myopia and astigmatism undergoes radial keratotomy to correct both refractive errors.
9. A provider performs radial keratotomy on a patient who has experienced a significant impact on their quality of life due to myopia.
10. A patient with myopia and a strong family history of successful radial keratotomy undergoes the procedure to improve their vision.