CPT® Code 65091

Evisceration of the eye, as described by CPT® Code 65091, is a surgical procedure that involves the removal of the ocular contents while leaving the scleral shell intact. This procedure is typically indicated for patients suffering from severe eye infections that do not respond to antibiotic treatment, as well as for those experiencing significant pain or discomfort in a blind eye. The goal of evisceration is to alleviate pain and improve the cosmetic appearance of the affected eye. During the procedure, the cornea is excised, allowing access to the internal structures of the eye. An ocular curette is then utilized to carefully scrape away the internal ocular contents, which include the retina, uveal tract, vitreous body, and lens, from the scleral shell. To manage any bleeding that may occur from the vortex veins and central retinal artery during this process, electrocautery and/or pressure techniques are employed. After the ocular contents have been removed, the scleral shell is meticulously inspected, and any residual uveal tissue is cleared using a swab. It is important to note that in this specific code, no implant is placed within the scleral shell, distinguishing it from related procedures such as CPT® Code 65093, where an implant is inserted to provide structural support.