• CPT Code for Pupillary Membrane Covering Pupil

    Question: I have a patient with a fibrotic pupillary membrane covering the small pupil and 360° posterior synechiae. I plan to remove the pupillary membrane, break the synechiae and form an adequate pupil opening. Which CPT codes should I use?

    Answer: Submit CPT codes 66600 Iridectomy, with corneoscleral or corneal section; for removal of lesion and 65875 Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); posterior synechiae.

    List CPT code 66600 first, as it typically has a higher allowable.

    Learn more about surgical codes in the Ophthalmic Coding Coach.