How To Use CPT Code 66630

CPT 66630 describes a specific procedure known as iridectomy, which is performed to treat glaucoma. This article will provide an overview of CPT code 66630, including its official description, the procedure itself, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 66630?

CPT 66630 is a code used to describe the surgical procedure known as iridectomy. This procedure involves the removal of a complete radial section from the iris, specifically for the treatment of glaucoma. It is important to note that this code is used for a separate procedure and not for the removal of a lesion or other related conditions.

2. Official Description

The official description of CPT code 66630 is: ‘Iridectomy, with corneoscleral or corneal section; sector for glaucoma (separate procedure).’ This code specifically refers to the surgical removal of a radial section from the iris to address glaucoma.

3. Procedure

1. During the iridectomy procedure, the healthcare provider begins by using an ocular speculum to open the patient’s eye.
2. A small incision is made at the border of the cornea and sclera.
3. The provider then holds the prolapsed portion of the iris and excises a complete wedge-shaped radial section of it.
4. After the removal of the iris section, a keyhole pupil is left behind.
5. This excision of the iris allows for improved flow and drainage of aqueous humor from behind the iris.
6. The provider sutures the incised area and may administer a topical antibiotic to the eye and apply an eye pressure patch.

4. Qualifying circumstances

CPT 66630 is performed for patients with glaucoma, a condition characterized by increased intraocular pressure. It is important to note that this procedure is specifically for the treatment of glaucoma and should not be used for other conditions or lesions. The procedure is typically performed by an ophthalmologist or other qualified eye care professional.

5. When to use CPT code 66630

CPT code 66630 should be used when a provider performs an iridectomy as a separate procedure to address glaucoma. It is important to ensure that the procedure is performed solely for the treatment of glaucoma and not for other conditions or lesions. If the provider is removing a lesion, a different CPT code should be used.

6. Documentation requirements

When documenting a claim for CPT code 66630, the healthcare provider should include the following information:

• Patient’s diagnosis of glaucoma
• Specific details of the iridectomy procedure performed
• Date of the procedure
• Start and end time of the procedure
• Any additional relevant information or complications
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT code 66630, it is important to ensure that the procedure is performed solely for the treatment of glaucoma. This code should not be reported if the provider has already performed other related procedures within the same timeframe. It is also important to follow any specific guidelines or requirements set forth by insurance providers or payers.

8. Historical information

CPT code 66630 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition.

9. Examples

1. A patient with glaucoma undergoes an iridectomy procedure to address their condition.
2. An ophthalmologist performs a sector iridectomy on a patient with glaucoma to improve aqueous humor flow.
3. A healthcare provider performs an iridectomy as a separate procedure to treat glaucoma in a patient.
4. An ophthalmic surgeon performs an iridectomy to alleviate intraocular pressure in a patient with glaucoma.
5. A patient with glaucoma undergoes an iridectomy procedure to improve drainage of aqueous humor.
6. An ophthalmologist performs an iridectomy to address glaucoma in a patient with increased intraocular pressure.
7. A healthcare provider performs a sector iridectomy to treat glaucoma in a patient.
8. An ophthalmic surgeon performs an iridectomy to alleviate symptoms of glaucoma in a patient.
9. A patient with glaucoma undergoes an iridectomy procedure to manage their condition.
10. An ophthalmologist performs an iridectomy to improve the flow of aqueous humor in a patient with glaucoma.