How To Use CPT Code 0100T

CPT 0100T describes the placement of a subconjunctival retinal prosthesis receiver and pulse generator, along with the implantation of an intraocular retinal electrode array, with vitrectomy. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples.

1. What is CPT Code 0100T?

CPT 0100T can be used to describe the surgical procedure in which a retinal prosthesis receiver and pulse generator are placed in the subconjunctival space, and an intraocular retinal electrode array is implanted in the vitreous cavity. This procedure is typically performed to restore some visual perception in patients with retinal diseases such as retinitis pigmentosa, hereditary retinal disorders, and certain forms of age-related macular degeneration.

2. Official Description

The official description of CPT code 0100T is: ‘Placement of a subconjunctival retinal prosthesis receiver and pulse generator, and implantation of intraocular retinal electrode array, with vitrectomy.’

3. Procedure

1. The patient’s eye is dilated and prepped for the procedure.
2. A 360-degree incision is made in the conjunctiva to expose the rectus muscles.
3. The retinal prosthesis receiver and pulse generator are placed under the rectus muscles and secured with sutures.
4. A vitrectomy is performed to remove any epiretinal membrane.
5. The intraocular retinal electrode array is released into the vitreous cavity and positioned on the retina.
6. The retinal electrode array is secured in place with micro retinal tacks.
7. The extraocular portion of the cable is sutured to the sclera.
8. All wounds are sutured closed, and grafts may be used if necessary.
9. The functionality of the implanted devices is tested.
10. A patch and shield are placed over the eye to protect it.

4. Qualifying circumstances

CPT 0100T is typically performed on patients with retinal diseases that have resulted in the loss of light sensitivity in the retina. These conditions may include retinitis pigmentosa, hereditary retinal disorders, and certain forms of age-related macular degeneration. The procedure is performed by a provider who is experienced in retinal surgeries and has the necessary equipment and expertise to perform the placement of the retinal prosthesis receiver, pulse generator, and intraocular retinal electrode array.

5. When to use CPT code 0100T

CPT code 0100T should be used when a provider performs the placement of a subconjunctival retinal prosthesis receiver and pulse generator, along with the implantation of an intraocular retinal electrode array, with vitrectomy. This code is appropriate for cases where the patient has a qualifying retinal disease and the procedure is performed to restore some visual perception. It is important to note that CPT code 0100T should not be reported for initial programming of the implantable intraocular retinal electrode array device, which should be reported with code 0472T.

6. Documentation requirements

To support a claim for CPT code 0100T, the provider must document the following information:

• Patient’s diagnosis and the need for the retinal prosthesis placement
• Details of the procedure, including the placement of the retinal prosthesis receiver and pulse generator, implantation of the intraocular retinal electrode array, and vitrectomy
• Date of the procedure
• Any additional procedures performed during the same session
• Details of any complications or unexpected findings
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT code 0100T, ensure that the procedure includes the placement of a subconjunctival retinal prosthesis receiver and pulse generator, along with the implantation of an intraocular retinal electrode array, with vitrectomy. It is important to follow the specific guidelines for reporting this code and not to report it for other procedures or services that may be performed during the same session. Additionally, be aware of any modifiers that may be required for accurate billing.

8. Historical information

CPT code 0100T was added to the Current Procedural Terminology system on January 1, 2006. The code has undergone one change since its addition, which occurred on January 1, 2018. The change involved updating the description of the procedure to include the term “intra-ocular” in the official description.

9. Examples

1. A patient with retinitis pigmentosa undergoes the placement of a subconjunctival retinal prosthesis receiver and pulse generator, along with the implantation of an intraocular retinal electrode array, with vitrectomy.
2. An individual with a hereditary retinal disorder receives the surgical procedure involving the placement of a retinal prosthesis receiver and pulse generator, along with the implantation of an intraocular retinal electrode array, with vitrectomy.
3. A patient diagnosed with age-related macular degeneration undergoes the placement of a subconjunctival retinal prosthesis receiver and pulse generator, along with the implantation of an intraocular retinal electrode array, with vitrectomy.
4. A provider performs the surgical procedure involving the placement of a retinal prosthesis receiver and pulse generator, along with the implantation of an intraocular retinal electrode array, with vitrectomy, for a patient with retinitis pigmentosa.
5. An individual with a hereditary retinal disorder undergoes the placement of a subconjunctival retinal prosthesis receiver and pulse generator, along with the implantation of an intraocular retinal electrode array, with vitrectomy.
6. A patient diagnosed with age-related macular degeneration receives the surgical procedure involving the placement of a retinal prosthesis receiver and pulse generator, along with the implantation of an intraocular retinal electrode array, with vitrectomy.
7. A provider performs the placement of a subconjunctival retinal prosthesis receiver and pulse generator, along with the implantation of an intraocular retinal electrode array, with vitrectomy, for a patient with retinitis pigmentosa.
8. An individual with a hereditary retinal disorder undergoes the surgical procedure involving the placement of a retinal prosthesis receiver and pulse generator, along with the implantation of an intraocular retinal electrode array, with vitrectomy.
9. A patient diagnosed with age-related macular degeneration receives the placement of a subconjunctival retinal prosthesis receiver and pulse generator, along with the implantation of an intraocular retinal electrode array, with vitrectomy.
10. A provider performs the surgical procedure involving the placement of a retinal prosthesis receiver and pulse generator, along with the implantation of an intraocular retinal electrode array, with vitrectomy, for a patient with retinitis pigmentosa.