How To Use CPT Code 66250

CPT 66250 describes the repair or revision of an operative wound to the anterior segment of the eye. 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 66250?

CPT 66250 is used to describe the repair or revision of an operative wound to the anterior segment of the eye. This code is used when a healthcare provider investigates and repairs or revises a wound in the front part of the eye, using various techniques depending on the extent of the wound.

2. Official Description

The official description of CPT code 66250 is: ‘Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure.’

3. Procedure

1. The healthcare provider examines the operative wound in the anterior segment of the eye.
2. Based on the extent of the wound, the provider selects the appropriate technique for repair or revision.
3. The provider performs the necessary steps to repair or revise the wound, ensuring proper healing and restoration of the anterior segment of the eye.
4. The procedure may be classified as early or late, major or minor, depending on the complexity and timing of the repair or revision.

4. Qualifying circumstances

CPT 66250 is used when a healthcare provider needs to repair or revise an operative wound in the anterior segment of the eye. This code applies to wounds that occurred during another procedure and require intervention to ensure proper healing and restoration. The provider may use various techniques depending on the extent of the wound.

5. When to use CPT code 66250

CPT code 66250 should be used when a healthcare provider performs a repair or revision procedure on an operative wound in the anterior segment of the eye. This code is appropriate for both early and late interventions, as well as major or minor procedures. It is important to accurately document the extent and timing of the repair or revision to support the use of this code.

6. Documentation requirements

To support a claim for CPT 66250, the healthcare provider must document the following information:

• Description of the operative wound in the anterior segment of the eye
• Details of the repair or revision procedure performed
• Timing of the procedure (early or late)
• Classification of the procedure (major or minor)
• Any complications or challenges encountered during the procedure
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 66250, ensure that the procedure performed is a repair or revision of an operative wound in the anterior segment of the eye. It is important to accurately document the extent and timing of the procedure to support the use of this code. If the provider performs an extensive procedure on the anterior segment of the eye that does not fit the description of CPT 66250, report the appropriate unlisted procedure code. If the patient requires a related procedure during the postoperative period, report the revision code with the appropriate modifier.

8. Historical information

CPT 66250 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 healthcare provider performs a revision procedure on an operative wound in the anterior segment of the eye, ensuring proper healing and restoration.
2. During a follow-up visit, the provider identifies a complication in the anterior segment of the eye and performs a repair procedure to address the issue.
3. A patient experiences an unplanned return to the operating room due to a related problem in the anterior segment of the eye, and the provider performs a revision procedure during the postoperative period.
4. A healthcare provider performs a minor repair procedure on an early operative wound in the anterior segment of the eye.
5. During a routine examination, the provider identifies the need for a major revision procedure on a late operative wound in the anterior segment of the eye.
6. A patient presents with a complex wound in the anterior segment of the eye, requiring a specialized repair procedure.
7. A healthcare provider performs a revision procedure on an operative wound in the anterior segment of the eye, using advanced techniques to ensure optimal outcomes.
8. During a postoperative visit, the provider identifies the need for a minor repair procedure on an early operative wound in the anterior segment of the eye.
9. A patient experiences complications following a previous procedure, and the provider performs a major revision procedure on a late operative wound in the anterior segment of the eye.
10. A healthcare provider performs a revision procedure on an operative wound in the anterior segment of the eye, addressing specific challenges encountered during the procedure.