CPT® Code 65435

The procedure described by CPT® Code 65435 involves the removal of the corneal epithelium, which is the outermost layer of the cornea, the transparent front part of the eye. This procedure can be performed with or without the use of chemocauterization, which is a technique that uses chemicals to destroy tissue. The primary goal of this procedure is to eliminate diseased, eroded, damaged, or dystrophied epithelial tissue that may be affecting the health and function of the cornea. During the procedure, the physician utilizes either abrasion or curettage techniques to carefully remove the soft epithelial layer. This is accomplished using specialized instruments designed for brushing or scraping, which effectively separate the epithelium from the underlying Bowman's layer, a tougher layer of tissue beneath the epithelium. In some cases, after the epithelium has been removed, a chemical agent may be applied to cauterize the newly exposed tissue, promoting healing and preventing further complications. This procedure is critical in managing various corneal conditions and is often a necessary step in restoring corneal integrity and function.