How To Use CPT Code 68200

CPT 68200 describes the subconjunctival injection procedure, which involves the injection of medication into the subconjunctival space. 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 68200?

CPT 68200 is a code used to describe the subconjunctival injection procedure. This procedure involves the injection of medication into the subconjunctival space, which is the space between the conjunctiva (the mucous membrane that lines the inner surface of the eyelid) and the sclera (the outer layer of the eyeball). The purpose of this injection is to deliver medication, such as antibiotics or anti-inflammatory drugs, to the targeted area.

2. Official Description

The official description of CPT code 68200 is: ‘Injection procedures on the conjunctiva.’

3. Procedure

1. The subconjunctival injection procedure begins with the appropriate preparation and anesthesia of the patient.
2. The healthcare provider then chooses the target site for the injection and raises or lowers the eyelid as necessary.
3. While the patient looks away from the needle, the provider carefully inserts the needle into the subconjunctival space between the conjunctiva and the sclera.
4. The medication is then injected into the subconjunctival space.
5. After the injection, the provider applies an eye pad to protect the eye.

4. Qualifying circumstances

The subconjunctival injection procedure is performed when there is a need to deliver medication directly to the subconjunctival space. This may be necessary for various reasons, such as delivering antibiotics to treat an infection or administering anti-inflammatory drugs to reduce swelling. The procedure is typically performed by a healthcare provider who is trained and qualified to perform injections.

5. When to use CPT code 68200

CPT code 68200 should be used when the subconjunctival injection procedure is performed to deliver medication to the subconjunctival space. It is important to note that this code should not be used for other types of injections or procedures performed on different parts of the eye.

6. Documentation requirements

To support a claim for CPT code 68200, the healthcare provider must document the following information:

• The reason for the subconjunctival injection procedure
• The specific medication injected
• The date and time of the procedure
• Any relevant details about the patient’s condition or response to the injection
• The provider’s signature

7. Billing guidelines

When billing for CPT code 68200, it is important to ensure that the procedure performed matches the description of the code. The injection should be performed on the conjunctiva, and the documentation should support the medical necessity of the procedure. It is also important to use the appropriate HCPCS supply code to report the supply of the medication used in the injection.

8. Historical information

CPT code 68200 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 healthcare provider performing a subconjunctival injection of antibiotics to treat a bacterial infection in the eye.
2. A patient receiving a subconjunctival injection of anti-inflammatory medication to reduce swelling and inflammation in the conjunctiva.
3. A healthcare provider administering a subconjunctival injection of a local anesthetic prior to performing a minor surgical procedure on the eye.
4. A patient receiving a subconjunctival injection of a corticosteroid to manage inflammation associated with an autoimmune condition affecting the eye.
5. A healthcare provider performing a subconjunctival injection of a vasoconstrictor to control bleeding in the conjunctiva during a surgical procedure.
6. A patient receiving a subconjunctival injection of a medication to promote healing and prevent infection following eye surgery.
7. A healthcare provider administering a subconjunctival injection of an antiviral medication to treat a viral infection in the eye.
8. A patient receiving a subconjunctival injection of a medication to manage pain and discomfort associated with a corneal abrasion.
9. A healthcare provider performing a subconjunctival injection of a medication to treat a specific eye condition, such as glaucoma or uveitis.
10. A patient receiving a subconjunctival injection of a medication to address a specific eye-related issue, such as dryness or redness.