How To Use CPT Code 66680

CPT 66680 describes the repair of the iris and ciliary body, specifically for cases of iridodialysis. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 66680?

CPT 66680 is used to describe the surgical repair of the iris and ciliary body, specifically for cases of iridodialysis. This procedure is performed to bring the iris back to its original position when it has torn away from the ciliary body.

2. Official Description

The official description of CPT code 66680 is the repair of the iris and ciliary body, as for iridodialysis. It is important to note that for reposition or resection of uveal tissue with a perforating wound of the cornea or sclera, a different code, 65285, should be used.

3. Procedure

1. In this procedure, the healthcare provider begins by using an ocular speculum to open the eye.
2. A small incision is made at the border of the cornea and sclera.
3. A suture needle is then passed through the incision area, across the anterior chamber to the iris root.
4. The torn or detached part of the iris is repaired, pulling it back to its original position.
5. The incision is closed with sutures, and a topical antibiotic is administered to the eye.
6. An eye pressure patch may be applied to protect the eye.

4. Qualifying circumstances

CPT 66680 is performed in cases where there is a tear or detachment between the iris and ciliary body of the eye, known as iridodialysis. This procedure is necessary to reposition the iris and restore its proper function. It is important to note that this code should not be used for reposition or resection of uveal tissue with a perforating wound of the cornea or sclera, as a different code, 65285, should be used in those cases.

5. When to use CPT code 66680

CPT code 66680 should be used when a healthcare provider performs a surgical repair of the iris and ciliary body for cases of iridodialysis. It is important to ensure that the procedure performed aligns with the specific description of the code and that it is not a reposition or resection of uveal tissue with a perforating wound of the cornea or sclera, which would require a different code.

6. Documentation requirements

To support a claim for CPT 66680, the healthcare provider must document the following information:

• Patient’s diagnosis of iridodialysis
• Details of the procedure performed, including the specific steps taken
• Date of the procedure
• Start and end time of the procedure
• Any complications or additional procedures performed
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 66680, it is important to ensure that the procedure performed aligns with the specific description of the code. This code should not be reported with other codes for reposition or resection of uveal tissue with a perforating wound of the cornea or sclera. It is important to follow the guidelines provided by the payer and use appropriate modifiers if necessary.

8. Historical information

CPT 66680 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates to the code since its addition.

9. Examples

1. A patient presents with iridodialysis, and the healthcare provider performs a surgical repair of the iris and ciliary body using CPT code 66680.
2. During a routine eye examination, the healthcare provider identifies iridodialysis in a patient and proceeds to perform a surgical repair using CPT code 66680.
3. A patient with a history of eye trauma experiences iridodialysis, and the healthcare provider performs a surgical repair using CPT code 66680.
4. Following a previous surgery, a patient develops iridodialysis, and the healthcare provider performs a surgical repair using CPT code 66680.
5. A patient with a congenital condition presents with iridodialysis, and the healthcare provider performs a surgical repair using CPT code 66680.
6. After a thorough examination, the healthcare provider diagnoses iridodialysis in a patient and proceeds to perform a surgical repair using CPT code 66680.
7. A patient with a history of eye surgery experiences iridodialysis, and the healthcare provider performs a surgical repair using CPT code 66680.
8. During a routine eye procedure, the healthcare provider identifies iridodialysis in a patient and proceeds to perform a surgical repair using CPT code 66680.
9. A patient presents with symptoms of iridodialysis, and the healthcare provider confirms the diagnosis and performs a surgical repair using CPT code 66680.
10. Following an eye injury, a patient develops iridodialysis, and the healthcare provider performs a surgical repair using CPT code 66680.