How To Use CPT Code 67343

CPT 67343 describes the release of extensive scar tissue without detaching the extraocular muscle. 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 67343?

CPT 67343 is used to describe the procedure of releasing extensive scar tissue without detaching the extraocular muscle. This code is specifically used when the provider severs fibrous adhesions on the extraocular muscle that may form after multiple orbital, retinal, or strabismus operations and limit the mobility of the eye. It is important to note that this procedure does not involve recession or resection surgery on the affected muscle.

2. Official Description

The official description of CPT code 67343 is the “Release of extensive scar tissue without detaching extraocular muscle (separate procedure).” This code should be used in conjunction with codes 67311 to 67340 when such procedures are performed on muscles other than the affected muscle.

3. Procedure

1. After appropriate prepping and anesthesia for a separately reportable eye surgery, the provider excises the adhesions between the extraocular muscles other than the affected muscle.

4. Qualifying circumstances

CPT 67343 is performed when there is extensive scar tissue on the extraocular muscle that needs to be released. This scar tissue may develop after multiple orbital, retinal, or strabismus operations. The procedure is done to improve the mobility of the eye. It is important to note that this procedure does not involve recession or resection surgery on the affected muscle.

5. When to use CPT code 67343

CPT code 67343 should be used when the provider is performing a separate procedure to release extensive scar tissue on the extraocular muscle. It should not be reported if the provider is performing strabismus surgery on the same muscle from which the scar tissue is being excised.

6. Documentation requirements

To support a claim for CPT 67343, the provider must document the following information:

• Explanation of the extensive scar tissue and its impact on the mobility of the eye
• Details of the procedure performed to release the scar tissue
• Date and duration of the procedure
• Any additional procedures performed on the affected muscle
• Signature of the provider

7. Billing guidelines

When billing for CPT 67343, ensure that the procedure involves the release of extensive scar tissue without detaching the extraocular muscle. It should be reported separately from any strabismus surgery performed on the affected muscle. It is important to follow the specific guidelines provided by the payer to ensure accurate billing and reimbursement.

8. Historical information

CPT 67343 was added to the Current Procedural Terminology system on January 1, 1991. There have been no updates to the code since its addition.

9. Examples

1. A provider performs a procedure to release extensive scar tissue on the extraocular muscle of a patient who has undergone multiple retinal surgeries.
2. During a separate procedure, a provider excises adhesions between the extraocular muscles to improve the mobility of the eye in a patient who has developed scar tissue after multiple strabismus operations.
3. A patient with a history of orbital surgeries undergoes a procedure to release extensive scar tissue on the extraocular muscle, performed by a provider.
4. A provider performs a separate procedure to release scar tissue on the extraocular muscle of a patient who has experienced limited eye mobility after multiple orbital operations.
5. During a procedure, a provider excises adhesions between the extraocular muscles other than the affected muscle to improve the mobility of the eye in a patient who has developed extensive scar tissue after multiple retinal surgeries.
6. A patient with a history of strabismus surgeries undergoes a procedure to release extensive scar tissue on the extraocular muscle, performed by a provider.
7. A provider performs a separate procedure to release scar tissue on the extraocular muscle of a patient who has experienced limited eye mobility after multiple strabismus operations.
8. During a procedure, a provider excises adhesions between the extraocular muscles other than the affected muscle to improve the mobility of the eye in a patient who has developed extensive scar tissue after multiple orbital surgeries.
9. A patient with a history of retinal surgeries undergoes a procedure to release extensive scar tissue on the extraocular muscle, performed by a provider.
10. A provider performs a separate procedure to release scar tissue on the extraocular muscle of a patient who has experienced limited eye mobility after multiple retinal operations.