Ophthalmic Coding Specialist Practice Test

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What is the definition of CPT code 65091?

Evisceration of ocular contents; without implant

CPT code 65091 specifically refers to the procedure of evisceration of ocular contents without implant. Evisceration is a surgical operation where the contents of the eye are removed, but the outer shell or sclera of the eye is retained. This procedure is typically performed in cases where there is severe infection, trauma, or other conditions affecting the eye that cannot be treated through other means.

The definition emphasizes the fact that no implant is inserted following the removal of the intraocular contents. This differentiates it from enucleation, where the entire eyeball, including the sclera, is removed, and typically an implant is placed to maintain the shape of the eye socket. The clarity and specificity of the terminology in medical coding are crucial, as it ensures accurate documentation and billing for the procedures performed.

Other choices cover different surgical procedures or treatments related to the eye but do not align with the definition of 65091. Understanding the precise definitions of these codes is vital for anyone in the ophthalmic coding field to ensure accurate reporting and reimbursement for medical services.

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Enucleation of the eye; without implant

Laser treatment for angle-closure glaucoma

Iridoplasty by photocoagulation

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