CPT® Code 65286

The procedure described by CPT® Code 65286 involves the repair of lacerations specifically affecting the cornea and/or sclera, which are critical components of the eye. This repair is achieved through the application of tissue glue, a type of liquid adhesive that facilitates the closure of the wound. The use of tissue adhesive, such as fibrin, chondroitin, or isobutyl cyanoacrylate, allows for a minimally invasive approach to wound closure, promoting healing while minimizing the risk of infection and complications. The primary objectives of this procedure are to ensure that the globe of the eye remains watertight, to restore the original anatomical structure of the eye, and to preserve or enhance visual function. During the procedure, the eye is first irrigated to remove any debris or foreign material, and the laceration is meticulously examined using a slit lamp or operating microscope to assess the extent of the injury. The edges of the laceration are then manually approximated to align them properly before the application of the tissue adhesive. This adhesive undergoes a chemical reaction upon contact with moisture, leading to polymerization, which effectively binds the epithelial layers together and supports the healing of the underlying tissues. Following the application of the tissue glue, a bandage contact lens may be placed over the area. This lens serves multiple purposes: it provides a protective barrier against mechanical trauma from eyelid movement, helps to alleviate pain, and promotes a conducive environment for healing by maintaining moisture at the site of the laceration.