How To Use CPT Code 67110

CPT 67110 describes the repair of retinal detachment by injecting air or other gas into the vitreous cavity. 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 67110?

CPT 67110 is used to describe a procedure in which a gas bubble is injected into the vitreous cavity of the eye to repair retinal detachment. This code is specifically for the injection of air or other gas, known as pneumatic retinopexy, to create pressure on the torn area of the retina and force it back into place.

2. Official Description

The official description of CPT code 67110 is: ‘Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy).’ This code should be used when the provider performs the procedure of injecting a gas bubble into the vitreous cavity to repair retinal detachment.

3. Procedure

1. The patient is appropriately prepped and anesthetized.
2. The provider places an ocular speculum in the patient’s eye to hold it open during the procedure.
3. Using a microscope, the provider identifies any holes or tears in the retina.
4. The provider injects a gas bubble into the middle of the eyeball.
5. The patient’s head is positioned in a specific way to allow the gas bubble to float to the detached area of the retina and press against it.
6. The provider may use a cryoprobe to freeze the tissue above the site of retinal detachment or pass a laser beam through a dilated pupil with a contact lens to seal the torn area.
7. The gas bubble flattens the retina until it seals to the wall of the eye.
8. Over time, the eye gradually absorbs the gas bubble.

4. Qualifying circumstances

CPT 67110 is performed to repair retinal detachment, a condition in which the retina is separated from its attachment to the supporting layers within the eye. The procedure involves injecting a gas bubble into the vitreous cavity to create pressure on the torn area of the retina and force it back into place. This procedure is typically performed by an ophthalmologist or other qualified eye specialist.

5. When to use CPT code 67110

CPT code 67110 should be used when the provider performs the procedure of injecting air or other gas into the vitreous cavity to repair retinal detachment. It is important to note that this code specifically refers to pneumatic retinopexy and should not be used for other procedures, such as aspiration or drainage of subretinal or subchoroidal fluid.

6. Documentation requirements

To support a claim for CPT code 67110, the provider must document the following information:

• Patient’s diagnosis of retinal detachment
• Description of the procedure performed, including the injection of air or other gas
• Date of the procedure
• Details of any additional procedures performed, such as cryoprobe application or laser photocoagulation
• Any complications or adverse events that occurred during or after the procedure
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT code 67110, ensure that the procedure performed is the injection of air or other gas into the vitreous cavity for the repair of retinal detachment. It is important to follow the specific guidelines and documentation requirements for this code. Additionally, be aware of any bundling or unbundling issues and any applicable modifiers that may need to be appended to the code.

8. Historical information

CPT code 67110 was added to the Current Procedural Terminology system on January 1, 1991. There have been no updates or changes to the code since its addition.

9. Examples

1. A patient undergoes pneumatic retinopexy with the injection of air to repair a retinal detachment.
2. A provider performs pneumatic retinopexy with the injection of a gas bubble other than air to repair a retinal detachment.
3. A patient receives pneumatic retinopexy with the injection of air and subsequent cryoprobe application to repair a retinal detachment.
4. A provider performs pneumatic retinopexy with the injection of a gas bubble and laser photocoagulation to repair a retinal detachment.
5. A patient undergoes pneumatic retinopexy with the injection of air and subsequent cryotherapy to repair a retinal detachment.
6. A provider performs pneumatic retinopexy with the injection of a gas bubble and diathermy to repair a retinal detachment.
7. A patient receives pneumatic retinopexy with the injection of air and subsequent diathermy with photocoagulation to repair a retinal detachment.
8. A provider performs pneumatic retinopexy with the injection of a gas bubble and diathermy with photocoagulation to repair a retinal detachment.
9. A patient undergoes pneumatic retinopexy with the injection of air and subsequent photocoagulation, cryotherapy, and diathermy to repair a retinal detachment.
10. A provider performs pneumatic retinopexy with the injection of a gas bubble and photocoagulation, cryotherapy, and diathermy to repair a retinal detachment.