How To Use CPT Code 67030

CPT 67030 describes a procedure that involves the cutting of vitreous strands in the eye through a pars plana incision. This article will cover the description, official details, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 67030?

CPT 67030 is a code used to describe a specific procedure performed on the eye. It involves the cutting of vitreous strands in the eye through a pars plana incision. This procedure is typically done to improve vision by removing the vitreous strands that are causing impairment.

2. Official Description

The official description of CPT code 67030 is: ‘Discission of vitreous strands (without removal), pars plana approach.’

3. Procedure

1. During the procedure, the healthcare provider makes an incision in the pars plana, which is a thickened portion of the vascular layer of the eye located between the choroid and the iris.
2. Microsurgical instruments are then introduced through the incision to cut the vitreous strands that are impairing the patient’s vision.
3. The pars plana incision is closed using 2-3 sutures.
4. To restore intraocular pressure, the provider injects saline solution into the anterior chamber of the eye.
5. Medications, such as steroids and antibiotics, may be placed in the operated eye, and the eye is covered with a bandage.

4. Qualifying circumstances

CPT 67030 is performed on patients who have vitreous strands causing retinal detachment and myopia. The procedure is typically done by a healthcare provider who is experienced in ophthalmic surgery. It is important to note that this procedure does not involve the removal of the vitreous strands, but rather the cutting of them to improve vision.

5. When to use CPT code 67030

CPT code 67030 should be used when a healthcare provider performs the discission of vitreous strands through a pars plana incision. It is important to accurately document the procedure and ensure that it aligns with the official description of the code.

6. Documentation requirements

To support a claim for CPT 67030, the healthcare provider must document the following information:

• Patient’s diagnosis indicating the presence of vitreous strands causing retinal detachment and myopia
• Details of the procedure, including the pars plana incision and cutting of the vitreous strands
• Number of sutures used to close the incision
• Injection of saline solution into the anterior chamber
• Medications placed in the operated eye
• Use of a bandage to cover the eye

7. Billing guidelines

When billing for CPT 67030, ensure that the procedure performed aligns with the official description of the code. It is important to accurately document the details of the procedure and any additional services provided. Review the specific billing guidelines provided by the payer to ensure proper reimbursement.

8. Historical information

CPT 67030 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 undergoes CPT 67030 to improve their vision by cutting vitreous strands causing retinal detachment.
2. A healthcare provider performs CPT 67030 on a patient with myopia to remove vitreous strands impairing their vision.
3. During a surgical procedure, a pars plana incision is made, and vitreous strands are cut using CPT 67030 to address retinal detachment.
4. A patient with impaired vision due to vitreous strands undergoes CPT 67030 to improve their visual acuity.
5. A healthcare provider performs CPT 67030 to address myopia caused by vitreous strands in a patient’s eye.
6. During a surgical procedure, a pars plana incision is made, and vitreous strands are cut using CPT 67030 to improve the patient’s vision.
7. A patient with retinal detachment undergoes CPT 67030 to address the condition and restore their vision.
8. A healthcare provider performs CPT 67030 on a patient with myopia caused by vitreous strands to improve their visual acuity.
9. During a surgical procedure, a pars plana incision is made, and vitreous strands are cut using CPT 67030 to address the patient’s impaired vision.
10. A patient with vitreous strands causing retinal detachment undergoes CPT 67030 to improve their vision and prevent further complications.