How To Use CPT Code 67500

CPT 67500 describes the procedure of retrobulbar injection, which involves the injection of medication into the space behind the eyeball to treat various eye conditions. This article will provide an overview of CPT code 67500, including its official description, the procedure itself, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 67500?

CPT 67500 is a code used to describe the retrobulbar injection procedure. This procedure involves the injection of medication into the space behind the eyeball, specifically the orbital apex. It is performed to treat various eye conditions and requires the provider to pass a blunt tip needle through the lower eyelid to access the targeted area behind the globe of the eye.

2. Official Description

The official description of CPT code 67500 is: ‘Retrobulbar injection; medication (separate procedure, does not include supply of medication).’ This code specifically refers to the injection of medication into the retrobulbar space, which is the area behind the eyeball.

3. Procedure

1. During the retrobulbar injection procedure, the patient is appropriately prepped and anesthetized.
2. The provider then passes a blunt tip needle through the outer half of the lower eyelid, above the floor of the orbit.
3. Next, the provider pierces the intermuscular septum, which is the wall or partition between two cavities or open spaces.
4. Finally, the medication is injected into the retrobulbar space, which is located behind the globe of the eye.

4. Qualifying circumstances

Retrobulbar injection with CPT code 67500 is performed to treat various eye conditions. It is typically used when other treatment options have been exhausted or when direct medication delivery to the retrobulbar space is necessary. The procedure requires a provider who is skilled and experienced in performing retrobulbar injections.

5. When to use CPT code 67500

CPT code 67500 should be used when a retrobulbar injection procedure is performed to administer medication into the retrobulbar space. It is important to note that this code does not include the supply of medication, which should be reported separately.

6. Documentation requirements

To support a claim for CPT code 67500, the provider must document the following information:

• The specific eye condition being treated
• The medication used for the retrobulbar injection
• The date and time of the procedure
• A detailed description of the procedure performed
• Any complications or adverse reactions
• The provider’s signature

7. Billing guidelines

When billing for CPT code 67500, it is important to ensure that the procedure performed meets the criteria outlined in the code description. Additionally, the provider should report any separately supplied medication using the appropriate code. It is also important to review any specific billing guidelines or requirements from the payer to ensure accurate and timely reimbursement.

8. Historical information

CPT code 67500 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 with diabetic retinopathy undergoes a retrobulbar injection procedure to administer medication directly into the retrobulbar space.
2. A patient with a severe eye infection receives a retrobulbar injection to deliver antibiotics to the affected area.
3. A patient with glaucoma undergoes a retrobulbar injection procedure to administer medication that helps reduce intraocular pressure.
4. A patient with a retinal detachment receives a retrobulbar injection to deliver medication that aids in the reattachment process.
5. A patient with an ocular tumor undergoes a retrobulbar injection procedure to administer chemotherapy directly to the tumor site.