CPT® Code 65865

Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); goniosynechiae

The procedure described by CPT® Code 65865 involves the surgical severing of adhesions located in the anterior segment of the eye, specifically utilizing an incisional technique. This procedure may be performed with or without the injection of air or liquid to assist in stabilizing intraocular pressure. The primary focus of this procedure is on goniosynechiae, which are pathological adhesions that occur between the iris and the posterior surface of the cornea within the iridocorneal angle of the anterior chamber. Goniosynechiae are often associated with angle closure glaucoma, a condition that can lead to increased intraocular pressure and potential vision loss if not addressed. During the procedure, an incision is made in the cornea, and a specialized instrument, such as a needle or knife blade, is employed to carefully sever the adhesive tissue that connects the iris to the cornea. This action aims to restore normal anatomical relationships and improve the function of the anterior segment of the eye. In cases where aqueous fluid is lost during the procedure, the injection of air or liquid may be necessary to maintain appropriate pressure within the eye, thereby preventing complications. It is important to note that this procedure is distinct from other related procedures, such as those described by CPT® Codes 65870, 65875, and 65880, which address different types of adhesions within the eye. Overall, CPT® Code 65865 is a critical intervention for managing specific types of ocular adhesions that can significantly impact patient vision and eye health.