How To Use CPT Code 67314

CPT 67314 describes a surgical procedure used to correct strabismus, a condition in which the eyes are misaligned and point in different directions. 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 67314?

CPT 67314 is a code used to describe a surgical procedure performed to correct strabismus, a condition characterized by misalignment of the eyes. This procedure involves either recession (weakening) or resection (strengthening) of the eye muscles to realign the eyes and improve vision.

2. Official Description

The official description of CPT code 67314 is: ‘Strabismus surgery, recession or resection procedure; 1 vertical muscle (excluding superior oblique).’ This code specifically applies to the removal of one vertical muscle during the surgical correction of strabismus.

3. Procedure

1. The surgeon administers anesthesia to the patient.
2. An incision is made either into the fornix or in the limbal area of the eye.
3. A recession of the medial rectus muscle is performed.
4. The muscle surrounding the Tenon’s capsule is dissected.
5. Subconjunctival areolar tissue is cut to expose the muscle.
6. A blunt hook or forceps is used to elevate the muscle for traction.
7. Sutures are placed into the muscle and clamped.
8. The muscle is removed.

4. Qualifying circumstances

CPT 67314 is used for patients with strabismus, a condition in which the eyes are misaligned. The procedure involves the removal of one vertical muscle, excluding the superior oblique muscle. It is important to note that the vertical muscles include the superior rectus, inferior rectus, and inferior oblique muscles.

5. When to use CPT code 67314

CPT code 67314 should be used when a surgeon performs a recession or resection procedure on one vertical muscle to correct strabismus. It is important to accurately document the specific muscle involved in the procedure.

6. Documentation requirements

To support a claim for CPT 67314, the surgeon must document the following information:

• Patient’s diagnosis of strabismus
• Specific muscle involved in the recession or resection procedure
• Date of the procedure
• Details of the surgical technique used
• Any additional procedures performed during the same surgical session
• Signature of the surgeon

7. Billing guidelines

When billing for CPT 67314, ensure that the procedure involves the removal of one vertical muscle, excluding the superior oblique muscle. It is important to accurately document the specific muscle involved in the procedure. CPT code 67314 should not be reported with other codes for additional muscles.

8. Historical information

CPT 67314 was added to the Current Procedural Terminology system on January 1, 1991. The code description was revised on January 1, 2009 to specify the exclusion of the superior oblique muscle.

9. Examples

1. A surgeon performs a recession procedure on the inferior rectus muscle to correct strabismus in a patient.
2. During strabismus surgery, a surgeon removes the superior rectus muscle to realign the patient’s eyes.
3. A patient undergoes a resection procedure on the inferior oblique muscle to correct their strabismus.
4. A surgeon performs a recession procedure on the superior rectus muscle to improve the alignment of a patient’s eyes.
5. During strabismus surgery, a surgeon removes the inferior rectus muscle to correct the patient’s misaligned eyes.
6. A patient undergoes a resection procedure on the inferior oblique muscle to improve their strabismus.
7. A surgeon performs a recession procedure on the superior rectus muscle to correct the misalignment of a patient’s eyes.
8. During strabismus surgery, a surgeon removes the inferior rectus muscle to realign the patient’s eyes.
9. A patient undergoes a resection procedure on the inferior oblique muscle to correct their strabismus.
10. A surgeon performs a recession procedure on the superior rectus muscle to improve the alignment of a patient’s eyes.