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The CPT® Code 65805 refers to the procedure known as paracentesis of the anterior chamber of the eye, which is classified as a separate procedure. This intervention involves the therapeutic release of aqueous humor, the clear fluid found in the eye's anterior chamber. The primary purpose of this procedure is to alleviate elevated intraocular pressure, which can occur in various ocular conditions. During the procedure, a needle is carefully inserted into the eye, typically at the paralimbal area of the cornea, allowing for the aspiration of aqueous fluid. This fluid can then be analyzed to diagnose potential infectious organisms, particularly in cases of uveitis, an inflammation of the uveal tract. The procedure is performed under local anesthesia, often with the use of eye drops to numb the area, and is typically conducted using a slit lamp for optimal visualization. The withdrawal of aqueous humor not only aids in diagnosing underlying conditions but also serves a therapeutic purpose by reducing intraocular pressure, thereby preventing potential damage to the optic nerve and preserving vision.
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The procedure described by CPT® Code 65805 is indicated for specific conditions that necessitate the therapeutic release of aqueous humor from the anterior chamber of the eye. The following are the explicitly provided indications for performing this procedure:
The procedure for anterior chamber paracentesis, as outlined in CPT® Code 65805, involves several critical steps to ensure both safety and efficacy. The following procedural steps are detailed:
After the completion of the anterior chamber paracentesis, patients may be monitored for any immediate complications, such as bleeding or infection. It is essential to provide post-procedure care instructions, which may include the use of prescribed eye drops to prevent infection and manage inflammation. Patients are typically advised to avoid strenuous activities and to follow up with their ophthalmologist for further evaluation and management of their condition. The expected recovery time can vary, but most patients can resume normal activities shortly after the procedure, provided there are no complications.
| Short Descr | DRAINAGE OF EYE | Medium Descr | DRAINAGE OF EYE | Long Descr | Paracentesis of anterior chamber of eye (separate procedure); with therapeutic release of aqueous | Status Code | Active Code | Global Days | 000 - Endoscopic or Minor Procedure | 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) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Discontinued Code | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | none | MUE | Not applicable/unspecified. | CCS Clinical Classification | 20 - Other intraocular therapeutic procedures |
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| 2013-01-01 | Deleted | Code deleted, use 65800 |
| 2013-01-01 | Changed | Short and Medium Descriptors changed. |
| Pre-1990 | Added | Code added. |
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