How To Use CPT Code 66990

CPT 66990 describes the use of an ophthalmic endoscope during a primary eye procedure. This article will cover the official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 66990?

CPT 66990 can be used to describe the use of an ophthalmic endoscope during a primary eye procedure. This code is an add-on procedure that allows the provider to examine the internal structures of the eye using an endoscope.

2. Official Description

The official description of CPT code 66990 is: ‘Use of ophthalmic endoscope (List separately in addition to code for primary procedure).’ This code can only be used in conjunction with specific primary eye procedures, which are listed as codes 65820, 65875, 65920, 66985, 66986, 67036, 67039, 67040, 67041, 67042, 67043, and 67113.

3. Procedure

1. During a primary eye procedure, the provider prepares the patient and administers anesthesia.
2. An incision is made in the sclera, the white outer part of the eye.
3. The provider inserts the ophthalmic endoscope through the incision and positions it to obtain the best view of the internal structures of the eye.
4. Once the procedure is completed, the endoscope is removed.
5. The incision is closed with sutures, and the anterior chamber of the eye is injected with saline solution to restore intraocular pressure.
6. Medications, such as steroids and antibiotics, may be placed in the operated eye, and a bandage is applied.

4. Qualifying circumstances

CPT 66990 can only be used when the ophthalmic endoscope is used during a primary eye procedure. The primary procedure must be one of the specific codes listed in the official description. The use of the endoscope allows for a more detailed examination of the internal structures of the eye.

5. When to use CPT code 66990

CPT code 66990 should be used when the provider performs a primary eye procedure and utilizes an ophthalmic endoscope to examine the internal structures of the eye. It is important to note that this code is an add-on procedure and should only be reported in conjunction with the appropriate primary code.

6. Documentation requirements

To support a claim for CPT 66990, the provider must document the following information:

• The primary eye procedure performed
• The use of the ophthalmic endoscope during the procedure
• Date of the procedure
• Start and end time of the procedure
• Details of the examination of the internal structures of the eye
• Any additional procedures or interventions performed
• Signature of the provider

7. Billing guidelines

When billing for CPT 66990, it is important to ensure that the procedure meets the qualifying circumstances outlined in the official description. This code should only be reported in addition to the appropriate primary eye procedure code. Payers will not reimburse for CPT 66990 if it is reported without a corresponding primary code. It is also important to follow any additional guidelines or requirements set forth by the payer.

8. Historical information

CPT 66990 was added to the Current Procedural Terminology system on January 1, 2003. There have been no updates or changes to the code since its addition.

9. Examples

1. A provider performs a primary eye procedure to repair a retinal detachment and utilizes an ophthalmic endoscope to examine the internal structures of the eye.
2. During a procedure to remove a foreign body from the eye, the provider uses an ophthalmic endoscope to ensure that all fragments have been successfully removed.
3. A patient undergoes a procedure to remove an eye implant, and the provider utilizes an ophthalmic endoscope to confirm the complete removal of the implant.
4. During the insertion of an ocular telescope prosthesis, the provider uses an ophthalmic endoscope to ensure proper placement and alignment.
5. A provider performs a procedure to remove an ocular telescope prosthesis and utilizes an ophthalmic endoscope to assist with the removal process.