How To Use CPT Code 66682

CPT 66682 describes the procedure of suturing the iris and ciliary body, along with the retrieval of the suture through a small incision. This article will provide an overview of CPT 66682, including its official description, the procedure involved, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and similar codes.

1. What is CPT Code 66682?

CPT 66682 is used to describe the surgical procedure of suturing the iris and ciliary body, with the additional step of retrieving the suture through a small incision. This code is specifically used when the provider needs to repair a torn or detached part of the iris by attaching it to the ciliary body. The procedure helps to restore the iris to its proper position and ensure its functionality.

2. Official Description

The official description of CPT code 66682 is: ‘Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture).’ This procedure involves suturing the iris and ciliary body, and the retrieval of the suture is done through a small incision, such as the McCannel suture technique.

3. Procedure

1. The provider begins the procedure by using an ocular speculum to open the eye and gain access to the iris and ciliary body.
2. A small incision is made at the border of the cornea and sclera, allowing the provider to access the area that requires suturing.
3. The torn or detached part of the iris is repaired by passing the suture needle through the incision, across the anterior chamber, and attaching the iris to the ciliary body.
4. After securing the iris, the provider retrieves the sutures by making a small incision.
5. The incision is then closed with sutures, and a topical antibiotic is administered to prevent infection.
6. Finally, an eye pressure patch is applied to protect the eye and aid in the healing process.

4. Qualifying circumstances

CPT 66682 is performed when there is a tear or detachment between the iris and ciliary body, a condition known as iridodialysis. This procedure is necessary to reattach the iris to the ciliary body and restore its proper function. It is important to note that CPT 66682 should only be used when the provider also retrieves the sutures through a small incision. If the sutures are not retrieved, CPT code 66680 should be used instead.

5. When to use CPT code 66682

CPT code 66682 should be used when the provider performs the specific procedure of suturing the iris and ciliary body, along with the retrieval of the sutures through a small incision. It is important to ensure that the procedure meets the criteria outlined in the official description to accurately report CPT 66682.

6. Documentation requirements

To support a claim for CPT 66682, the provider must document the following information:

• The diagnosis indicating the need for the procedure
• A detailed description of the procedure performed, including the specific technique used
• Date of the procedure
• Start and end time of the procedure
• Any additional relevant details or complications encountered during the procedure
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 66682, it is important to ensure that the procedure meets the specific criteria outlined in the official description. The provider should use the appropriate CPT code based on the specific procedure performed. It is also important to follow any additional guidelines provided by the payer or coding guidelines to accurately report and bill for the procedure.

8. Historical information

CPT 66682 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 provider suturing a torn iris to the ciliary body and retrieving the sutures through a small incision using the McCannel suture technique.
2. A surgeon repairing a detached part of the iris by attaching it to the ciliary body and retrieving the sutures through a small incision.
3. An ophthalmologist performing a procedure to suture the iris and ciliary body, along with the retrieval of sutures through a small incision, to restore the functionality of the iris.
4. A specialist suturing the iris and ciliary body using a specific technique and retrieving the sutures through a small incision to correct a tear or detachment.
5. A provider performing a procedure to suture the iris and ciliary body, along with the retrieval of sutures through a small incision, to ensure the proper positioning and functioning of the iris.
6. An ophthalmic surgeon repairing a torn iris by attaching it to the ciliary body and retrieving the sutures through a small incision, using the McCannel suture technique.
7. A specialist performing a procedure to suture the iris and ciliary body, along with the retrieval of sutures through a small incision, to address a tear or detachment and restore the normal anatomy of the eye.
8. An ophthalmologist suturing the iris and ciliary body, along with the retrieval of sutures through a small incision, to correct a tear or detachment and ensure the proper functioning of the iris.