CPT® Code 66500

The CPT® Code 66500 refers to a specific surgical procedure known as iridotomy by stab incision, which is classified as a separate procedure. This technique is primarily utilized in the management of various ocular conditions, including glaucoma, iris atrophy, papillary membrane adhesions, and aniridia. The procedure involves making a precise stab incision through the conjunctiva and into the lamellar sclera, allowing for the creation of a tunnel that facilitates access to the anterior chamber of the eye. The use of an operating microscope is essential for visualizing the intricate structures of the eye during the procedure, ensuring accuracy and safety. The stab incision technique is characterized by its careful dissection, which extends into the lamellar cornea and ultimately enters the anterior chamber horizontally. This method is designed to alleviate pressure and restore normal fluid dynamics within the eye, thereby addressing the underlying issues associated with the aforementioned conditions. It is important to note that this code does not include transfixion, which is a more complex procedure that involves additional steps to address specific complications such as iris bombe. Overall, CPT® Code 66500 represents a critical intervention in ophthalmic surgery aimed at improving patient outcomes in those suffering from significant eye disorders.