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Corneal incisions in the recipient cornea created using a laser are a critical preparatory step for both penetrating and lamellar keratoplasty procedures. Lamellar keratoplasty is a surgical technique aimed at replacing only the diseased or scarred partial thickness portion of the cornea, while preserving the surrounding healthy corneal tissue. This selective approach minimizes disruption to the eye and enhances recovery. On the other hand, penetrating keratoplasty involves a full-thickness corneal transplant, which is indicated for various conditions such as viral keratitis, keratoconus, Fuchs' endothelial dystrophy, bullous keratopathy, and corneal scarring or dystrophy resulting from trauma or keratitis. Both surgical procedures necessitate the use of a donor cornea. The use of a femtosecond laser to create precise incisions in the recipient cornea is essential, as it allows for the formation of accurately shaped incisions that facilitate a seamless integration of the donor tissue with the patient's existing corneal structure. This precision not only accelerates the healing process and visual recovery but also contributes to a more stable graft that requires fewer sutures, thereby reducing the risk of complications such as induced astigmatism. It is important to note that CPT® Code 0290T should be used specifically for incisions made in the recipient cornea, while CPT® Code 0289T is designated for incisions made in the donor cornea.
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The procedure of creating corneal incisions in the recipient cornea using a laser is indicated for specific conditions and surgical interventions. These include:
The procedure for creating corneal incisions in the recipient cornea involves several critical steps, which are detailed as follows:
Post-procedure care is essential for optimal recovery following the creation of corneal incisions. Patients are typically monitored for any signs of complications and are provided with specific instructions regarding eye care. This may include the use of prescribed eye drops to prevent infection and manage inflammation. Patients can expect a gradual improvement in vision as the graft integrates with the recipient cornea, and follow-up appointments are crucial to assess healing and visual outcomes. It is important for patients to adhere to the post-operative care plan to ensure a successful recovery and minimize the risk of complications.
| Short Descr | LASER INC FOR PKP/LKP RECIP | Medium Descr | CORNEA INCISNS RECIPIENT CORNEA W/LASR KERTPLSTY | Long Descr | Corneal incisions in the recipient cornea created using a laser, in preparation for penetrating or lamellar keratoplasty (List separately in addition to code for primary procedure) | Status Code | Carriers Price the Code | Global Days | ZZZ - Code Related to Another Service | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - 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 | Items and Services Packaged into APC Rates | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | T2D - Other tests - other | MUE | Not applicable/unspecified. | CCS Clinical Classification | 13 - Corneal transplant |
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| 2021-12-31 | Deleted | Code deleted, see 66999. |
| 2012-01-01 | Added | Added |
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