cpt 67028, 67028 cpt code, cpt code 67028

CPT Code 67028 | Description, Procedure & Billing Guidelines (2022)

Use CPT code 67028 to report an injection of a pharmacologic agent into the vitreous chamber of a patient’s eye.

1. What Is CPT Code 67028?

CPT 67028 can be billed for a procedure in which a provider injects the patient’s vitreous chamber of the eye.

This code can be billed as a primary or separate procedure unrelated to another procedure performed on the patient’s eye.

2. Description

The CPT book describes CPT code 67028 as follows: “Intravitreal injection of a pharmacologic agent (separate procedure).”

3. Procedure

The 67028 CPT code procedure starts with an ophthalmologist sterilizing the injection site. Then, they check the intraocular pressure and papillary dilation before applying topical anesthesia.

Next, they draw the intravitreal agent into the syringe after ensuring no air bubbles are left. Then, they introduce the needle into the middle of the vitreous cavity and aim it posterior and slightly inferior before administering the intravitreal agent into the patient’s eye.

Then, they remove the syringe’s needle slowly from the eye and, if necessary, perform an ophthalmoscope to ensure that the drug is placed correctly.

Finally, the patient is transferred to the recovery room after they receive antibiotics.

4. How To Use CPT Code 67028

Use the 67028 CPT code with modifier 59 if it was performed with an unrelated procedure. Ensure that the documentation proves that the procedure was unrelated.

The official description of 67028 states that the procedure is a separate procedure. This means that it can not be performed alongside a related procedure. For example, a procedure with the same surgical approach or performed through the same incision in the same anatomic area of the eye.

You can not append modifier 59 with CPT 67028 if a more specific modifier is available. For example, modifier XE for the same date but a separate encounter or modifier XP for a different practitioner.

5. Resources

CPT Professional 2022

https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=53387

https://www.aapc.com/codes/coding-newsletters/my-ophthalmology-coding-alert/you-be-the-coder-which-modifier-applies-to-injection-during-global-169176-article

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