2025 CPT code 67505
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Eye and Ocular Adnexa Surgery Feed
Retrobulbar injection; alcohol
Modifiers 22, 50, 51, 59, 76, 77, and others may be applicable depending on the circumstances of the procedure. Consult the CPT manual for appropriate modifier usage.
Medical necessity is established when conservative treatment measures have failed to provide adequate pain relief, and the patient experiences severe, intractable orbital pain. The procedure should be considered only as a palliative treatment option when other methods are ineffective.
The ophthalmologist or other qualified physician is responsible for performing the injection, ensuring proper patient preparation, anesthesia, and accurate needle placement to avoid complications. Post-procedure monitoring is also the physician's responsibility.
In simple words: This procedure uses an injection of alcohol behind the eyeball to reduce eye pain. A small needle is carefully inserted near the lower eyelid to deliver the alcohol.
This procedure involves the injection of alcohol into the retrobulbar space (the area behind the eyeball) to alleviate eye pain.The provider, after appropriate patient preparation and anesthesia, inserts a blunt-tipped needle through the outer half of the lower eyelid, above the orbital floor, to access the orbital apex. The intermuscular septum is pierced, and the alcohol is injected into the retrobulbar space.This is distinct from a retrobulbar injection of medication (67500).
Example 1: A patient presents with severe, intractable pain due to an orbital tumor.Retrobulbar alcohol injection is used for palliative pain relief., A patient with severe post-surgical pain following orbital surgery receives a retrobulbar alcohol injection to manage the discomfort., A patient with uncontrolled ocular pain from severe glaucoma may be considered for this treatment as a last resort.
Detailed patient history including pain description, location, and duration.Documentation of the injection procedure including needle placement, volume of alcohol injected, and patient response.Pre- and post-injection assessments of the patient's pain levels.Any complications encountered during or after the procedure should be meticulously documented.
** This is a relatively uncommon procedure.Always verify medical necessity with the payer before performing the procedure and submitting a claim.
- Revenue Code: P4E (EYE PROCEDURE - OTHER)
- RVU: Information not available in source.
- Global Days : Information not available in source.
- Payment Status: Active
- Modifier TC rule: Information not available in source.
- Fee Schedule : Information not available in source.
- Specialties:Ophthalmology
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center