How To Use CPT Code 4175F

CPT 4175F describes the achievement of best-corrected visual acuity of 20/40 or better within 90 days following cataract surgery. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples.

1. What is CPT Code 4175F?

CPT 4175F can be used to describe the achievement of best-corrected visual acuity of 20/40 or better within 90 days following cataract surgery. This code is used when the patient undergoes a lens replacement surgery to improve their visual acuity, and they achieve a corrected visual acuity of 20/40 or better within 90 days after the procedure.

2. Official Description

The official description of CPT code 4175F is: ‘Best-corrected visual acuity of 20/40 or better (distance or near) achieved within the 90 days following cataract surgery (EC).’

3. Procedure

1. The patient undergoes a lens replacement surgery to remove the cataract and improve their visual acuity.
2. The provider carefully measures the accurate axial length and power of the cornea using the intraocular lens (IOL) power calculation formula.
3. If the patient achieves a best-corrected visual acuity of 20/40 or better within 90 days following the surgery, CPT code 4175F can be reported.
4. If the patient does not achieve the desired visual acuity, the provider assesses the patient for opportunities for improvement and may consider additional interventions or treatments.

4. Qualifying circumstances

Patients eligible to have CPT code 4175F reported are those who have undergone cataract surgery and achieve a best-corrected visual acuity of 20/40 or better within 90 days following the procedure. Cataracts are a clouding or opacity of the lens in the eyes, causing a gradual loss of vision over time. The surgery is performed to remove the cataract and improve the patient’s visual acuity. The provider must carefully measure the axial length and power of the cornea to ensure accurate IOL power calculation. If the patient does not achieve the desired visual acuity, further interventions may be considered.

5. When to use CPT code 4175F

CPT code 4175F should be used when a patient achieves a best-corrected visual acuity of 20/40 or better within 90 days following cataract surgery. It should not be reported if the patient does not meet this criteria or if the surgery was not performed.

6. Documentation requirements

To support a claim for CPT code 4175F, the provider must document the following information:

• Date of the cataract surgery
• Results of the surgery, including the achievement of best-corrected visual acuity of 20/40 or better
• Signature of the provider

7. Billing guidelines

When billing for CPT code 4175F, ensure that the patient has achieved a best-corrected visual acuity of 20/40 or better within 90 days following cataract surgery. This code should not be reported if the patient does not meet this criteria or if the surgery was not performed. It is important to accurately document the date of the surgery and the results in the patient’s record. CPT code 4175F should not be reported with other codes unless there are specific circumstances that warrant their use.

8. Historical information

CPT code 4175F was added to the Current Procedural Terminology system on January 1, 2009. There have been no updates to the code since its addition.

9. Examples

1. A patient undergoes cataract surgery and achieves a best-corrected visual acuity of 20/40 within 90 days following the procedure.
2. After cataract surgery, a patient’s visual acuity improves to 20/25 within 90 days.
3. Following cataract surgery, a patient’s visual acuity is measured at 20/30 within 90 days.
4. A patient achieves a best-corrected visual acuity of 20/40 or better within 90 days after cataract surgery.
5. Within 90 days following cataract surgery, a patient’s visual acuity improves to 20/20.
6. After cataract surgery, a patient’s visual acuity reaches 20/40 or better within 90 days.
7. Following cataract surgery, a patient achieves a best-corrected visual acuity of 20/40 within 90 days.
8. A patient’s visual acuity improves to 20/25 or better within 90 days following cataract surgery.
9. Within 90 days after cataract surgery, a patient achieves a best-corrected visual acuity of 20/40 or better.
10. After cataract surgery, a patient’s visual acuity is measured at 20/30 or better within 90 days.