How To Use CPT Code 67515

CPT 67515 describes the injection of medication or other substances into Tenon’s capsule, a membranous layer covering the eyeball. 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 67515?

CPT 67515 involves the insertion of a needle into Tenon’s capsule of the eye to administer medication or other substances. This procedure may be performed after carefully incising the conjunctiva for easier access. The provider locates the Tenon’s capsule and injects the required medication or substance. Hemostasis is ensured to stop any bleeding at the site.

2. Official Description

The official description of CPT code 67515 is the “Injection of medication or other substance into Tenon’s capsule.” This code is used when a provider administers medication or substances into the membranous layer covering the eyeball.

3. Procedure

1. The provider prepares the patient and administers anesthesia.
2. An incision is made in the conjunctiva to facilitate access.
3. A needle is inserted to locate Tenon’s capsule.
4. The medication or substance is injected into the capsule.
5. Hemostasis is ensured to stop any bleeding.

4. Qualifying circumstances

CPT 67515 is performed when there is a need to inject medication or substances into Tenon’s capsule. This procedure is typically indicated for specific eye conditions or diseases. It is important to note that subconjunctival injections should be reported using a different CPT code (68200).

5. When to use CPT code 67515

CPT code 67515 should be used when a provider administers medication or substances into Tenon’s capsule. It is important to ensure that the injection is specifically targeted at this area and not the subconjunctival space. If the injection is performed in the subconjunctival space, a different CPT code (68200) should be used.

6. Documentation requirements

To support a claim for CPT 67515, the provider must document the following information:

• Patient’s diagnosis or condition necessitating the injection
• Specific medication or substance injected
• Date and time of the procedure
• Details of the procedure, including the incision and injection technique
• Confirmation of hemostasis
• Provider’s signature

7. Billing guidelines

When billing for CPT 67515, ensure that the injection is performed into Tenon’s capsule and not the subconjunctival space. It is important to use the appropriate CPT code based on the specific location of the injection. CPT code 67515 should not be reported if CPT codes 98966 to 98968 have already been performed in the previous seven days.

8. Historical information

CPT 67515 was added to the Current Procedural Terminology system on January 1, 1990. There have been historical changes to the code, including a code change on January 1, 2002, which modified the description to “Injection of therapeutic agent into Tenon’s capsule.”

9. Examples

1. A provider administers medication into Tenon’s capsule to treat a patient with uveitis.
2. During a surgical procedure, a provider injects a substance into Tenon’s capsule to reduce inflammation in a patient with scleritis.
3. A patient with a corneal ulcer receives an injection of antibiotics into Tenon’s capsule to aid in healing.
4. A provider administers a corticosteroid injection into Tenon’s capsule to manage inflammation in a patient with episcleritis.
5. During a surgical procedure, a provider injects a local anesthetic into Tenon’s capsule to ensure pain control for the patient.