2025 CPT code 67107
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Eye and Ocular Adnexa Surgery Feed
Repair of retinal detachment using scleral buckling, with or without additional procedures.
Modifiers 50 (bilateral procedure), 59 (distinct procedural service), 78 (unplanned return to OR), and 79 (unrelated procedure) may be applicable depending on the circumstances.
Medical necessity is established when the patient presents with a symptomatic retinal detachment that threatens vision.The procedure is considered medically necessary to prevent vision loss or restore vision.
The ophthalmologist or surgeon is responsible for pre-operative assessment, surgical procedure (including scleral buckling, cryotherapy, photocoagulation, and subretinal fluid drainage as needed), and post-operative care.
In simple words: This code covers the surgical repair of a detached retina.The surgeon uses a scleral buckle (a small band) to reattach the retina. Other techniques like freezing (cryotherapy) or laser treatment (photocoagulation) may also be used, along with draining any fluid buildup.
Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication, or encircling procedure), with or without implant, with or without cryotherapy, photocoagulation, and drainage of subretinal fluid.
Example 1: A 60-year-old patient presents with a rhegmatogenous retinal detachment in the right eye. The surgeon performs a scleral buckling procedure with cryotherapy to repair the detachment., A 45-year-old patient experiences a traumatic retinal detachment following a car accident.The surgeon performs a scleral buckling procedure with subretinal fluid drainage and photocoagulation., A 70-year-old patient has a macular hole and a retinal detachment in the left eye. The surgeon performs a scleral buckling procedure, implants a synthetic band, and uses photocoagulation.
Detailed operative report specifying the techniques used (scleral buckling, type of buckle, cryotherapy, photocoagulation, drainage), location and size of the retinal detachment, presence of any complications, and post-operative course.Pre-operative imaging (e.g., fundus photography, OCT) should be documented.
** This code encompasses a range of techniques and may include additional procedures.Accurate documentation is crucial for proper coding and reimbursement.
- Revenue Code: P4C (EYE PROCEDURE - RETINAL DETACHMENT)
- Payment Status: Active
- Specialties:Ophthalmology
- Place of Service:Ambulatory Surgical Center, Inpatient Hospital, Outpatient Hospital