How To Use CPT Code 67107

CPT 67107 describes the repair of retinal detachment using a scleral buckle, which involves various techniques such as lamellar scleral dissection, imbrication, or encircling procedure. 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 67107?

CPT 67107 is used to describe the repair of retinal detachment using a scleral buckle. This procedure involves creating a flexible band that is stitched onto the sclera in an area where the retina has detached. The provider may also perform additional techniques such as lamellar scleral dissection, imbrication, or encircling procedure. These techniques help to reattach the retina and prevent further detachment.

2. Official Description

The official description of CPT code 67107 is: ‘Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling procedure), including, when performed, implant, cryotherapy, photocoagulation, and drainage of subretinal fluid.’

3. Procedure

1. The provider begins by assessing the patient’s condition and identifying any holes or tears in the retina.
2. A scleral buckle is then created by either performing lamellar scleral dissection, imbrication, or encircling procedure.
3. The provider places the scleral buckle onto the sclera, either by stitching it in place or using a silicone band.
4. If necessary, the provider may also perform additional techniques such as implanting a synthetic band, applying cryotherapy to freeze the tissue, or using photocoagulation to seal the torn area of the retina.
5. If there is subretinal fluid present, the provider may make an incision in the sclera to drain the fluid.
6. Finally, the provider closes the incision with sutures, restores the intraocular pressure, administers a topical antibiotic, and applies an eye pressure patch.

4. Qualifying circumstances

CPT 67107 is performed on patients who have a retinal detachment. The procedure is suitable for patients who require a scleral buckle to reattach the retina. The provider must assess the patient’s condition and determine the appropriate technique to use, such as lamellar scleral dissection, imbrication, or encircling procedure. The procedure may also involve additional techniques such as implantation, cryotherapy, photocoagulation, or drainage of subretinal fluid.

5. When to use CPT code 67107

CPT code 67107 should be used when a provider performs a scleral buckle procedure to repair a retinal detachment. This code is appropriate when the provider uses techniques such as lamellar scleral dissection, imbrication, or encircling procedure. It is important to note that CPT code 67107 should not be reported if the procedure is performed as a result of a postoperative complication from cataract surgery.

6. Documentation requirements

To support a claim for CPT code 67107, the provider must document the following information:

• Patient’s diagnosis of retinal detachment
• Specific techniques used, such as lamellar scleral dissection, imbrication, or encircling procedure
• Date of the procedure
• Details of any additional techniques performed, such as implantation, cryotherapy, photocoagulation, or drainage of subretinal fluid
• Description of the closure method used, including sutures
• Administration of topical antibiotic
• Application of an eye pressure patch

7. Billing guidelines

When billing for CPT code 67107, ensure that the procedure involves the repair of retinal detachment using a scleral buckle. It is important to note that this code should not be reported if the procedure is performed as a result of a postoperative complication from cataract surgery. Additional modifiers may be required to indicate any unplanned return to the operating room or unrelated procedures performed during the postoperative period.

8. Historical information

CPT code 67107 was added to the Current Procedural Terminology system on January 1, 1990. The code was later revised on January 1, 2016 to include additional details about the procedure.

9. Examples

1. A provider performs a scleral buckle procedure using lamellar scleral dissection to repair a retinal detachment in a patient.
2. During a retinal detachment repair, a provider uses imbrication to reattach the retina in a patient.
3. A provider performs an encircling procedure to repair a retinal detachment in a patient.
4. Using a combination of techniques, including lamellar scleral dissection and cryotherapy, a provider successfully repairs a retinal detachment in a patient.
5. A provider performs a scleral buckle procedure with drainage of subretinal fluid to repair a retinal detachment in a patient.