2025 CPT code 67120
(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 extraocular implanted material from the posterior segment of the eye.
Modifiers such as -RT (right eye) and -LT (left eye) are required to specify the affected eye.Additional modifiers (e.g., 59, -XU, etc.) might be necessary based on the circumstances of the procedure to prevent bundling.
Medical necessity for the removal of an implanted material is established when the implant is causing complications (e.g., infection, inflammation, visual impairment, mechanical failure) or is no longer indicated.Documentation supporting the medical necessity should be provided.
The ophthalmologist is responsible for pre-operative preparation, anesthesia administration (if applicable), surgical removal of the implanted material, wound closure, intraocular pressure restoration, post-operative medication, and bandage placement.
- Surgery
- Surgical Procedures on the Eye and Ocular Adnexa > Surgical Procedures on the Posterior Segment of the Eye > Retina or Choroid Procedures > Repair Procedures on the Retina or Choroid
In simple words: The doctor removes a previously placed implant from the back of the eye.This involves a small incision, removal of the implant, and then closing the incision.The doctor will also give eye drops and put a bandage on the eye.
This procedure involves the surgical removal of previously implanted extraocular material located in the posterior segment (the back two-thirds) of the eye.The surgeon makes a scleral incision to access the implanted material (e.g., scleral buckle, ocular prosthesis), removes it using an ocular speculum, closes the incision with sutures (2-3), and injects saline into the anterior chamber to restore intraocular pressure. Post-operative medication (steroids and antibiotics) is applied, and a bandage is placed over the eye.
Example 1: A patient with a previous scleral buckle for retinal detachment experiences complications requiring its removal., A patient with a dislocated intraocular lens (IOL) requires its removal from the posterior segment, but the IOL is extraocular., A patient with a previously implanted device in the posterior segment experiences inflammation and requires its removal.
* Pre-operative diagnosis and clinical indication for removal.* Surgical procedure notes detailing the approach, techniques, materials removed, and complications.* Post-operative assessment and plan of care.* Relevant imaging (if applicable).
** The provided description clarifies that the implant removed is extraocular (outside the eye).This distinguishes 67120 from code 67121, which refers to the removal of intraocular implants.Accurate documentation is crucial for proper coding and reimbursement.
- Revenue Code: P4C (EYE PROCEDURE - RETINAL DETACHMENT)
- RVU: This information is not available in the provided text.RVUs vary based on geographic location, facility type, and other factors. Consult the appropriate payer's fee schedule for current RVU values.
- Global Days: This information is not provided.The global period would depend on the specific circumstances of the procedure and any bundled services.
- Payment Status: Active
- Modifier TC rule: Information not available.The application of a technical component (TC) modifier would depend on the specific circumstances of the procedure.
- Fee Schedule: Historical fee schedule data is not available from the provided text. Consult payer-specific fee schedules for historical reimbursement data.
- Specialties:Ophthalmology
- Place of Service:Ambulatory Surgical Center, Office, Inpatient Hospital, Outpatient Hospital