How To Use CPT Code 67120

CPT 67120 describes the removal of previously implanted extraocular material from the posterior segment of the eye. 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 67120?

CPT 67120 is used to describe the procedure of removing previously implanted extraocular material from the posterior segment of the eye. This code is used when the provider makes an incision in the sclera, accesses the implanted material, and removes it from the back two-thirds of the eye.

2. Official Description

The official description of CPT code 67120 is the “Removal of implanted material, posterior segment; extraocular.” This code specifically refers to the removal of previously implanted extraocular material from the posterior segment of the eye.

3. Procedure

1. The provider prepares the patient for the procedure and administers anesthesia.
2. An incision is made in the sclera, the white outer part of the eye, to gain access to the previously implanted material in the posterior segment.
3. The provider uses an ocular speculum to carefully remove the scleral buckle, ocular prosthesis, or any other implanted material.
4. The incision is closed with 2-3 sutures.
5. The provider injects the anterior chamber with saline solution to restore intraocular pressure.
6. Medications such as steroids and antibiotics are placed in the operated eye.
7. The eye is covered with a bandage to protect it during the healing process.

4. Qualifying circumstances

CPT 67120 is performed when there is a need to remove previously implanted extraocular material from the posterior segment of the eye. This may include the removal of a scleral buckle or an ocular prosthesis. The procedure is typically performed by a qualified healthcare provider who has the necessary expertise in ophthalmic surgery.

5. When to use CPT code 67120

CPT code 67120 should be used when a provider performs the removal of previously implanted extraocular material from the posterior segment of the eye. It is important to ensure that the procedure meets the specific criteria outlined in the code description. If the removal involves other segments of the eye or different types of materials, a different CPT code may be more appropriate.

6. Documentation requirements

To support a claim for CPT 67120, the provider must document the following information:

• The need for the removal of previously implanted extraocular material
• The specific material being removed
• Date of the procedure
• Details of the procedure, including the incision, removal technique, and closure
• Any additional medications or treatments provided
• Signature of the performing provider

7. Billing guidelines

When billing for CPT 67120, it is important to ensure that the procedure meets the specific criteria outlined in the code description. The provider should report this code only when the removal of previously implanted extraocular material from the posterior segment of the eye is performed. It is also important to follow any additional guidelines provided by the payer or coding guidelines.

8. Historical information

CPT 67120 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 provider removes a previously implanted scleral buckle from the posterior segment of the eye.
2. An ocular prosthesis is removed from the posterior segment of the eye by a qualified healthcare provider.
3. A patient undergoes the removal of an implanted material from the posterior segment of the eye due to complications.
4. A provider performs the removal of a previously implanted material from the posterior segment of the eye as part of a revision surgery.
5. A patient requires the removal of an ocular prosthesis from the posterior segment of the eye due to infection.
6. A provider removes a previously implanted material from the posterior segment of the eye to address discomfort and improve visual function.
7. An individual undergoes the removal of a scleral buckle from the posterior segment of the eye to correct a complication.
8. A qualified healthcare provider performs the removal of an ocular prosthesis from the posterior segment of the eye to address a malfunction.
9. A patient requires the removal of a previously implanted material from the posterior segment of the eye due to a change in treatment plan.
10. A provider performs the removal of an ocular prosthesis from the posterior segment of the eye to improve the patient’s comfort and quality of life.