How To Use CPT Code 67299

CPT 67299 describes a procedure performed on the posterior segment of the eye that does not have a specific code. This article will cover the official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 67299?

CPT 67299 can be used to report procedures performed on the posterior segment of the eye that do not have a specific code. This code is used when there is no other existing CPT code that accurately represents the service provided by the healthcare professional.

2. Official Description

The official description of CPT code 67299 is: ‘Use 67299 to report procedures in the posterior segment of the eye that do not have a specific code.’

3. Procedure

1. The healthcare professional performs a procedure on the posterior segment of the eye that is not represented by any of the standard and active CPT codes available.

4. Qualifying circumstances

CPT 67299 is used when there is no specific code available to accurately describe the procedure performed on the posterior segment of the eye. This code should only be used when there is no other appropriate code that can be used to report the service provided.

5. When to use CPT code 67299

CPT code 67299 should be used when there is no other specific code available to accurately represent the procedure performed on the posterior segment of the eye. It is important to note that this code should not be chosen if there is a code that closely approximates the service provided. Only use CPT 67299 when there is no other appropriate code available.

6. Documentation requirements

To support a claim for CPT 67299, the healthcare professional must provide a cover letter explaining the reason for choosing the unlisted code instead of a defined, active code. The cover letter should include one or more similar codes and compare the service provided to those codes to justify the claim amount. Additionally, the operative notes or other relevant documentation should be included to strengthen the claim and avoid a possible denial.

7. Billing guidelines

When billing for CPT 67299, it is important to submit a cover letter explaining the reason for choosing the unlisted code instead of a defined, active code. Include one or more similar codes and compare the service provided to those codes to justify the claim amount. The payer will consider the claim on a case-by-case basis and determine payment based on the documentation provided.

8. Historical information

CPT 67299 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates to the code since its addition.

9. Examples

1. A healthcare professional performs a procedure on the posterior segment of the eye that is not represented by any other specific code.
2. During a surgical intervention, a healthcare professional performs a unique procedure on the posterior segment of the eye that does not have a specific code available.
3. A patient undergoes a procedure on the posterior segment of the eye that is not accurately described by any other existing code.
4. A healthcare professional performs a specialized procedure on the posterior segment of the eye that is unique and does not have a specific code.
5. During a complex surgery, a healthcare professional performs a procedure on the posterior segment of the eye that does not have a specific code available.