2025 CPT code 67108
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Eye and Ocular Adnexa Surgery Feed
Repair of retinal detachment with vitrectomy, including other procedures as performed.
Modifiers -LT (left eye) and -RT (right eye) are commonly used.Modifiers -50 (bilateral procedure), -51 (multiple procedures), and others may be applicable depending on the circumstances.Consult the CPT manual for appropriate modifier usage.
Medical necessity for retinal detachment repair is established by clinical findings, including visual impairment and the risk of further vision loss if left untreated. Supporting documentation, such as ophthalmologic examination, imaging (OCT, FFA, etc), and visual acuity data is required.
The ophthalmologist or qualified surgeon is responsible for the complete procedure, including pre-operative assessment, surgical execution, and post-operative care.
In simple words: This code covers surgery to fix a detached retina.The doctor removes some of the gel-like substance in the eye and may use laser treatment, freezing, or other techniques to reattach the retina.A scleral buckle (a silicone band) or gas bubble might also be used.
This CPT code encompasses the surgical repair of a detached retina involving vitrectomy (removal of vitreous gel) using any method.The procedure may additionally include air or gas tamponade, focal endolaser photocoagulation, cryotherapy, drainage of subretinal fluid, scleral buckling, and/or removal of the lens, when performed.
Example 1: A patient presents with a retinal detachment in the right eye.The surgeon performs a vitrectomy, cryotherapy to seal retinal tears, and injects a gas bubble for tamponade. Code 67108-RT is used., A patient with a history of previous retinal detachment repair requires additional surgery for recurrence.The surgeon performs a vitrectomy, scleral buckling, and endolaser photocoagulation.Code 67108 with appropriate modifier is used. This is not a 'catch-all' code; the specific elements of 67108 must be performed., A patient undergoes vitrectomy for retinal detachment repair with removal of subretinal fluid. The surgeon also removes a cataract during the same procedure. Code 67108 is used for the retinal detachment repair, and the cataract removal would be coded separately (based on the specific technique used).
* Detailed operative report specifying all techniques used (vitrectomy method, type of tamponade, laser or cryotherapy parameters, etc.)* Preoperative and postoperative visual acuity measurements.* Imaging studies (e.g., optical coherence tomography, fluorescein angiography) showing retinal detachment and confirming successful repair.* Documentation of any complications encountered during or after the procedure.
** This code should not be considered a 'catch-all' for all retinal detachment repairs.It's crucial to accurately document all components of the procedure performed to ensure correct coding and reimbursement.
- Revenue Code: P4C (EYE PROCEDURE - RETINAL DETACHMENT)
- RVU: This varies significantly based on geographic location, facility type, and specific components of the procedure.Consult your local fee schedule and Medicare reimbursement guidelines.
- Global Days: The global period for this procedure is dependent upon the payer and specific services performed.Consult your payer's specific guidelines.
- Payment Status: Active
- Modifier TC rule: TC modifiers are not typically used with this code.
- Fee Schedule: Historical fee schedules vary significantly depending on the payer and location.This information is not available in the provided data.
- Specialties:Ophthalmology
- Place of Service:Ambulatory Surgical Center, Inpatient Hospital, Outpatient Hospital