2025 CPT code 67121
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Surgery - Surgical Procedures on the Eye and Ocular Adnexa Surgery Feed
Removal of an implanted intraocular lens from the posterior segment of the eye.
Modifiers may be applicable depending on the circumstances of the procedure. For example, modifier -50 may be used if the procedure is performed bilaterally.Consult the CPT manual and NCCI edits for appropriate modifier use.
Medical necessity for code 67121 is established when the dislocated or subluxated IOL causes visual impairment, inflammation, or other complications requiring surgical removal.Documentation supporting the medical necessity should be present in the patient's chart.
The ophthalmologist or other qualified surgeon is responsible for all aspects of the procedure, including patient preparation, incision, IOL removal, wound closure, intraocular pressure restoration, and post-operative care.
In simple words: The doctor removes a previously placed artificial lens inside the eye that has moved to the back part of the eye.This involves a small incision, removal of the lens, and closing the incision.
This procedure involves the surgical removal of a previously implanted intraocular lens (IOL) that has subluxed or dislocated into the posterior segment of the eye.After appropriate preparation and anesthesia, an incision is made in the pars plana. Iris forceps are used to grasp and remove the IOL. The incision is then closed with sutures, intraocular pressure is restored, and a topical antibiotic is administered. An eye patch is applied.
Example 1: A patient presents with a dislocated IOL in the posterior segment following trauma.67121 is used to code the removal of the dislocated IOL., A patient experiences late-stage complications from a previous IOL implantation resulting in IOL subluxation into the posterior segment. 67121 is used to document the removal of the dislodged lens., During a vitrectomy procedure for another reason, a dislocated IOL is discovered in the posterior segment.67121 is coded for the removal of the IOL in addition to the primary vitrectomy code.
* Operative report detailing the procedure, including the approach used (pars plana), instruments used, and assessment of intraocular pressure post-procedure.* Preoperative and postoperative visual acuity measurements.* Documentation of any complications or unexpected findings.* Patient's medical history and any relevant imaging studies.
** Bundling rules apply.This code should be used cautiously in conjunction with other ophthalmic surgical codes.Careful review of the operative report is critical for accurate coding. The specific approach used for removing the IOL (e.g., pars plana, anterior) should be documented thoroughly.
- Revenue Code: P4E (EYE PROCEDURE - OTHER)
- RVU: This information is not available in the provided source.Consult the AMA CPT codebook or a relevant fee schedule for current RVU data.
- Global Days: This information is not available in the provided source. The global period will depend on the specific payer and may vary based on local coverage determination.
- Payment Status: Active
- Modifier TC rule: The provided sources do not specify whether modifier TC applies.Determining whether a technical component modifier is necessary would require further information on the individual clinical scenario.
- Fee Schedule: Historical fee schedule information is not included in the provided source.Data on historical reimbursement can be found through various sources such as CMS fee schedules.
- Specialties:Ophthalmology
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center