CPT® Code 65600

Multiple punctures of the anterior cornea, as described by CPT® Code 65600, are a specialized ophthalmic procedure aimed at addressing specific conditions affecting the cornea. This procedure is primarily indicated for the treatment of recurrent corneal erosion, a condition where the outer layer of the cornea fails to adhere properly, leading to repeated episodes of pain and visual disturbance. Additionally, it is utilized for cosmetic purposes, particularly in cases of disfiguring corneal scars that may arise from surgical interventions or traumatic injuries. During the procedure, the eye is first numbed with topical anesthetic eye drops to ensure patient comfort. A bent needle, typically ranging from 23 to 25 gauge, is then employed to create multiple small punctures in the anterior stroma of the cornea. These punctures are strategically placed to induce controlled scarring, which promotes healing of the corneal erosion by stimulating the body's natural repair mechanisms. In cases where cosmetic improvement is the goal, an ink stain may be applied to the cornea to assess the aesthetic outcome, allowing for adjustments until the desired appearance is achieved. This procedure is a valuable option for patients suffering from these specific corneal conditions, providing both functional and cosmetic benefits.