How To Use CPT Code 67121

CPT 67121 describes the removal of a previously implanted intraocular lens that has subluxed or slipped into 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 67121?

CPT 67121 can be used to describe the surgical procedure in which a provider removes a previously implanted intraocular lens that has shifted into the posterior segment of the eye. This code is specifically used for cases where the lens has subluxed or slipped, causing complications or impairing vision.

2. Official Description

The official description of CPT code 67121 is: ‘Removal of implanted material, posterior segment; intraocular.’ This code is used when the provider removes an intraocular lens that has subluxed or slipped into the posterior segment of the eye. It is important to note that if the removal is from the anterior segment, a different code (65920) should be used. Additionally, if the removal is for a foreign body, other codes (65260, 65265) should be used.

3. Procedure

1. The provider prepares the patient for the procedure, ensuring appropriate anesthesia and prepping the eye.
2. An incision is made in the pars plana, which is a structure in the middle of the eye between the retina and the iris.
3. The provider uses iris forceps, a fine-tipped surgical instrument with small teeth, to grasp and remove the previously implanted intraocular lens from the eye.
4. The incision is closed with sutures, restoring the intraocular pressure and ensuring proper healing.
5. A topical antibiotic is administered to the eye, and an eye pressure patch may be applied to protect the eye during the recovery period.

4. Qualifying circumstances

CPT 67121 is used when a previously implanted intraocular lens has subluxed or slipped into the posterior segment of the eye. This procedure is performed to address complications or restore vision in such cases. It is important to note that this code specifically applies to the removal of an intraocular lens and should not be used for other types of procedures or conditions.

5. When to use CPT code 67121

CPT code 67121 should be used when a provider performs the removal of a previously implanted intraocular lens that has subluxed or slipped into the posterior segment of the eye. It is important to accurately document the specific circumstances and indications for this procedure to support the use of this code.

6. Documentation requirements

To support a claim for CPT 67121, the provider must document the following information:

• Indication for the removal of the intraocular lens
• Details of the procedure, including the incision site and technique used
• Description of the complications or issues caused by the subluxed or slipped lens
• Specific details of the lens removal, including the instruments used
• Closure technique and materials used
• Administration of topical antibiotic and application of an eye pressure patch, if applicable

7. Billing guidelines

When billing for CPT 67121, ensure that the procedure meets the criteria for this specific code. It is important to accurately document the indications and details of the procedure to support the use of this code. Additionally, be aware of any specific guidelines or requirements from insurance providers or payers regarding the billing of this procedure.

8. Historical information

CPT 67121 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 the removal of a subluxed intraocular lens from the posterior segment of the eye due to complications.
2. A provider performs the removal of a slipped intraocular lens to restore vision in a patient.
3. An individual requires the removal of a previously implanted intraocular lens that has shifted into the posterior segment of the eye, causing discomfort and impaired vision.
4. A provider addresses complications caused by a subluxed intraocular lens by performing its removal from the posterior segment of the eye.
5. A patient undergoes the removal of a slipped intraocular lens to prevent further damage to the eye and improve visual outcomes.
6. A provider performs the removal of a subluxed intraocular lens to alleviate symptoms and restore visual function in a patient.
7. An individual requires the removal of a previously implanted intraocular lens that has slipped into the posterior segment of the eye, causing significant vision impairment.
8. A provider addresses complications caused by a subluxed intraocular lens by performing its removal from the posterior segment of the eye.
9. A patient undergoes the removal of a slipped intraocular lens to prevent further damage to the eye and improve visual outcomes.
10. A provider performs the removal of a subluxed intraocular lens to alleviate symptoms and restore visual function in a patient.