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The procedure described by CPT® Code 65125 involves the modification of an ocular implant, which is a medical device used to replace or support the structure of the eye. This procedure is classified as a separate reportable procedure, indicating that it is distinct from other surgical interventions that may be performed on the eye. The primary goal of this modification is to enhance the fit of the ocular implant within the eye socket, ensuring better stability and comfort for the patient. During the procedure, existing pegs that secure the implant may be removed if necessary, and new holes are drilled to reposition these pegs. Additionally, the surgeon may place new pegs to further secure the implant, thereby improving its overall functionality and integration with the surrounding ocular tissues. This careful adjustment is crucial for achieving optimal outcomes in patients who have undergone ocular implantation, as it directly impacts the implant's performance and the patient's quality of life.
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The procedure associated with CPT® Code 65125 is indicated for patients who require modifications to their ocular implants due to issues such as improper fit, instability, or discomfort. The following conditions may warrant this procedure:
The procedure for CPT® Code 65125 involves several critical steps to ensure the successful modification of the ocular implant. Each step is designed to address specific issues related to the implant's fit and stability.
After the completion of the procedure, patients may require specific post-operative care to ensure proper healing and optimal outcomes. This may include monitoring for any signs of infection, managing discomfort, and ensuring that the ocular implant is functioning as intended. Follow-up appointments are typically scheduled to assess the fit and stability of the modified implant, and any necessary adjustments can be made during these visits. Patients are advised to adhere to their healthcare provider's instructions regarding activity restrictions and care of the surgical site to promote a smooth recovery process.
| Short Descr | REVISE OCULAR IMPLANT | Medium Descr | MODIFICAJ OC IMPLT W/PLMT/RPLCMT PEGS SPX | Long Descr | Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage) (separate procedure) | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 1 - 150% payment adjustment for bilateral procedures applies. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 1 - Statutory payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 1 - Co-surgeons could be paid, though supporting documentation is required... | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | ASC Payment Indicator | Non office-based surgical procedure added in CY 2008 or later; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P4E - Eye procedure - other | MUE | 1 | CCS Clinical Classification | 21 - Other extraocular muscle and orbit therapeutic procedures |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) |
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| 1992-01-01 | Added | First appearance in code book in 1992. |
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