How To Use CPT Code 67505

CPT 67505 describes a procedure in which the provider injects alcohol into the space behind the eyeball to relieve eye pain. This article will cover the description, official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 67505?

CPT 67505 is a code used to describe a specific procedure in which alcohol is injected into the retrobulbar space behind the eyeball to alleviate eye pain. This procedure is performed by a healthcare provider to provide relief to patients experiencing eye pain.

2. Official Description

The official description of CPT code 67505 is: ‘Retrobulbar injection; alcohol.’

3. Procedure

  1. During the procedure, the healthcare provider administers anesthesia to the patient to ensure their comfort.
  2. Using a blunt tip needle, the provider carefully inserts it through the outer half of the lower eyelid, above the floor of the orbit.
  3. The needle is then directed towards the orbital apex, which is the topmost point behind the eyeball.
  4. Once the needle reaches the orbital apex, the provider injects alcohol into the retrobulbar space, which is the area located behind the globe of the eye.
  5. This injection of alcohol helps to alleviate eye pain and provide relief to the patient.

4. Qualifying circumstances

CPT 67505 is performed when a patient is experiencing eye pain and requires a retrobulbar injection of alcohol for relief. The procedure is typically performed by a healthcare provider who is trained and qualified to administer such injections. It is important to note that this procedure should only be performed when medically necessary and appropriate for the patient’s condition.

5. When to use CPT code 67505

CPT code 67505 should be used when a healthcare provider performs a retrobulbar injection of alcohol to relieve eye pain. It is important to ensure that this procedure is medically necessary and appropriate for the patient’s condition before using this code.

6. Documentation requirements

To support a claim for CPT 67505, the healthcare provider must document the following information:

  • The patient’s diagnosis and the medical necessity of the retrobulbar injection
  • The specific details of the procedure, including the use of alcohol and the injection site
  • The date and time of the procedure
  • Any relevant findings or observations during the procedure
  • The patient’s response to the injection and any subsequent follow-up care
  • The provider’s signature and credentials

7. Billing guidelines

When billing for CPT 67505, it is important to ensure that the procedure was performed by a qualified healthcare provider and that the injection was administered using alcohol. It is also important to follow any specific billing guidelines provided by the payer or insurance company. Additionally, it is important to review any applicable modifiers or additional codes that may be required for accurate billing.

8. Historical information

CPT 67505 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 severe eye pain undergoes a retrobulbar injection of alcohol to alleviate their symptoms.
  2. A healthcare provider administers a retrobulbar injection of alcohol to a patient with a diagnosed eye condition causing significant pain.
  3. A patient with a history of eye trauma receives a retrobulbar injection of alcohol to help manage their chronic pain.
  4. A healthcare provider performs a retrobulbar injection of alcohol on a patient with a known eye infection to help reduce inflammation and pain.
  5. A patient with a chronic eye condition undergoes a retrobulbar injection of alcohol as part of their ongoing treatment plan.

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