How To Use CPT Code 0563T

CPT 0563T describes the procedure for evacuating meibomian glands using heat delivered through wearable, open-eye eyelid treatment devices and manual gland expression, bilaterally. This article will cover the description, official details, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples.

1. What is CPT Code 0563T?

CPT 0563T can be used to describe the procedure of evacuating meibomian glands using heat delivered through wearable, open-eye eyelid treatment devices and manual gland expression, bilaterally. This code is used when a provider applies a treatment device over the upper and lower eyelids of both eyes to deliver heat to obstructed meibomian glands, helping to dissolve the waxy oily substance called meibum that prevents tear film from evaporating.

2. Official Description

The official description of CPT code 0563T is: ‘Evacuation of meibomian glands, using heat delivered through wearable, open-eye eyelid treatment devices and manual gland expression, bilateral.’

3. Procedure

1. The patient is appropriately prepared, typically with a topical anesthetic applied to the eyes.
2. The provider applies a wearable open-eye eyelid treatment device over the upper and lower eyelids of both eyes.
3. The treatment device delivers heat to the obstructed meibomian glands, helping dissolve the meibum.
4. The provider also uses manual gland compression to express the meibum from the glands.

4. Qualifying circumstances

This procedure is performed on patients with meibomian gland dysfunction that causes dry eye syndrome. The patient must be prepared appropriately, and the procedure must be performed bilaterally on both the upper and lower lids of both eyes.

5. When to use CPT code 0563T

CPT code 0563T should be used when a provider performs the procedure of evacuating meibomian glands using heat delivered through wearable, open-eye eyelid treatment devices and manual gland expression, bilaterally. This code should be used for each instance of the procedure performed on the patient.

6. Documentation requirements

To support a claim for CPT code 0563T, the provider must document the following information:

• Patient’s diagnosis of meibomian gland dysfunction causing dry eye syndrome
• Details of the treatment device used
• Date of the procedure
• Specifics of the procedure performed, including the application of the treatment device and manual gland expression
• Bilateral nature of the procedure
• Any additional relevant information or findings

7. Billing guidelines

When billing for CPT code 0563T, ensure that the procedure is performed bilaterally on both the upper and lower lids of both eyes using the specified treatment devices. It is important to follow the documentation requirements and provide accurate information for proper billing. Check with the payer regarding coverage and reimbursement policies for this category III code.

8. Historical information

CPT code 0563T was added to the Current Procedural Terminology system on January 1, 2020. There have been no updates or changes to the code since its addition.

9. Examples

1. A provider applies a wearable open-eye eyelid treatment device and performs manual gland expression to evacuate meibomian glands bilaterally for a patient with meibomian gland dysfunction causing dry eye syndrome.
2. A patient undergoes the procedure of evacuating meibomian glands using heat delivered through wearable, open-eye eyelid treatment devices and manual gland expression, bilaterally, to alleviate symptoms of dry eye syndrome.
3. A provider performs the procedure on both the upper and lower lids of both eyes using the specified treatment devices to address meibomian gland dysfunction in a patient with dry eye syndrome.
4. A patient receives bilateral treatment for meibomian gland dysfunction using wearable open-eye eyelid treatment devices and manual gland expression to improve symptoms of dry eye syndrome.
5. A provider applies heat through wearable open-eye eyelid treatment devices and performs manual gland expression on both the upper and lower lids of both eyes to evacuate meibomian glands in a patient with dry eye syndrome.
6. A patient undergoes the procedure of evacuating meibomian glands bilaterally using heat delivered through wearable, open-eye eyelid treatment devices and manual gland expression to alleviate symptoms of meibomian gland dysfunction causing dry eye syndrome.
7. A provider performs the procedure on both eyes, applying heat through wearable open-eye eyelid treatment devices and performing manual gland expression to evacuate meibomian glands in a patient with dry eye syndrome.
8. A patient receives bilateral treatment for meibomian gland dysfunction using wearable open-eye eyelid treatment devices and manual gland expression to improve symptoms of dry eye syndrome.
9. A provider applies heat through wearable open-eye eyelid treatment devices and performs manual gland expression on both the upper and lower lids of both eyes to evacuate meibomian glands in a patient with dry eye syndrome.
10. A patient undergoes the procedure of evacuating meibomian glands bilaterally using heat delivered through wearable, open-eye eyelid treatment devices and manual gland expression to alleviate symptoms of meibomian gland dysfunction causing dry eye syndrome.