2025 CPT code 67145
Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Eye and Ocular Adnexa Feed
Prophylaxis of retinal detachment (e.g., retinal break, lattice degeneration) without drainage; photocoagulation.
Modifiers may be applicable to indicate bilateral procedures (50), multiple procedures (51), reduced services (52), and other specific circumstances.
Medical necessity for this procedure is based on the presence of conditions that increase the risk of retinal detachment, such as symptomatic retinal breaks, persistent vitreous traction at the edge of a break, or lattice degeneration, especially in the contralateral eye of a patient with prior lattice-associated retinal detachment.
The ophthalmologist performs the procedure after prepping the patient and administering anesthesia if needed. The pupil is dilated, and a special lens is used to focus the laser on the affected area of the retina. The laser creates burns that seal tears and reinforce the retina.
In simple words: This procedure uses an intense light beam, like a laser, to seal small tears or weak spots in the retina, preventing retinal detachment. The light creates scar tissue that strengthens the retina.
This code represents the prophylactic treatment of retinal detachment using photocoagulation (laser or xenon arc) in cases of retinal breaks or lattice degeneration, performed without drainage, in one or more sessions.
Example 1: A patient presents with a symptomatic retinal tear and flashes of light. To prevent retinal detachment, photocoagulation is performed to seal the tear., A patient with lattice degeneration in one eye and a history of lattice-associated retinal detachment in the other eye undergoes prophylactic photocoagulation., A patient with a retinal break and persistent vitreous traction undergoes photocoagulation to prevent progression to retinal detachment.
Documentation should include the diagnosis of retinal tear or lattice degeneration, the location and size of the affected area, the method of photocoagulation used, and the number of sessions. Any pre-operative examination findings, such as fluorescein angiography or OCT results, should also be documented.
- Revenue Code: P4C - EYE PROCEDURE - RETINAL DETACHMENT
- Specialties:Ophthalmology
- Place of Service: "Office", "Ambulatory Surgical Center", "Outpatient Hospital", "Inpatient Hospital"