CPT® Code 65870

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

The procedure described by CPT® Code 65870 involves the severing of adhesions located in the anterior segment of the eye using an incisional technique. This procedure may be performed with or without the injection of air or liquid to assist in stabilizing the intraocular pressure, particularly if there is a loss of aqueous fluid during the operation. The term 'anterior segment' refers to the front part of the eye, which includes structures such as the cornea, iris, and lens. Adhesions in this context are abnormal connections that can occur between the iris and other structures in the anterior segment, excluding the cornea. These adhesions can lead to complications such as restricted movement of the iris and potential vision impairment. The procedure is classified as a separate procedure, meaning it is distinct from other surgical interventions that may be performed on the eye. It is important to note that this code specifically excludes goniosynechiae, which are adhesions of the iris to the posterior surface of the cornea, as these are addressed under a different code (CPT® Code 65865). The technique employed in this procedure typically involves the use of a needle or knife blade to carefully sever the adhesive tissue, thereby restoring normal anatomical relationships and function within the anterior segment of the eye.