2025 CPT code 67345
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Surgery - Surgical Procedures on the Eye and Ocular Adnexa Surgery Feed
Chemodenervation of extraocular muscle.
Modifiers may apply depending on the circumstances of the service. For example, modifier 50 (bilateral procedure) could be used if both eyes are treated. Consult the CPT manual and relevant payer guidelines.
Chemodenervation of extraocular muscles is medically necessary to correct strabismus, diplopia, or other disorders of eye motility when conservative treatments have failed or are not appropriate.The procedure should be considered medically necessary when it provides a substantial improvement in visual function and quality of life, and when the benefits outweigh the risks.
The physician identifies the affected extraocular muscle, performs the injection using electromyography guidance, and interprets the results. Pre-operative and post-operative care may also be included.
In simple words: The doctor injects medicine into a muscle outside the eyeball to relax it and improve eye alignment. This treatment lasts for around three months.
This procedure involves injecting a toxin into an extraocular muscle to weaken its activity and restore normal eye alignment.After appropriate patient preparation and anesthesia, the provider identifies the affected extraocular muscle. Using a needle electrode connected to an electromyographic recorder to precisely locate the muscle, the provider injects the toxin.The effects typically last for about three months, potentially leading to significant improvement in eye alignment.
Example 1: A patient presents with strabismus (misaligned eyes) due to an overactive lateral rectus muscle. The physician performs chemodenervation of the lateral rectus muscle to weaken its pull and improve alignment., A patient experiences double vision (diplopia) caused by an imbalance in extraocular muscle function.Chemodenervation is used to selectively weaken the responsible muscle and alleviate diplopia., A patient with nystagmus (involuntary eye movement) undergoes chemodenervation to reduce the severity of the uncontrolled movements, improving visual stability.
* Detailed history and physical examination focusing on the patient's ocular motility.* Thorough documentation of the ophthalmologic examination, including measurements of eye alignment and muscle function.* Pre-operative and post-operative photographs.* Electromyographic tracings demonstrating accurate needle placement within the target muscle.* Documentation of the type and amount of toxin injected.* Post-operative assessment of the patient's response to the treatment.
** The HCPCS code J0585 (Injection, onabotulinumtoxinA, 1 unit) is often used in conjunction with CPT code 67345.Accurate reporting of the number of units used is crucial for reimbursement.Proper documentation is key for successful claim processing.
- Revenue Code: P4E (EYE PROCEDURE - OTHER)
- RVU: Information not available in provided text.Consult the official CPT codebook or relevant payer guidelines for RVU data.
- Global Days : Information not available in provided text.Consult the official CPT codebook or relevant payer guidelines for global period details.
- Payment Status: Active
- Modifier TC rule: Information not available in provided text. Consult the official CPT codebook or relevant payer guidelines.
- Fee Schedule : Information not available in the provided text. Consult historical CPT fee schedules or payer-specific data for historical fee information.
- Specialties:Ophthalmology, Neurosurgery (in cases involving neurological conditions)
- Place of Service:Office, Ambulatory Surgery Center, Hospital (Inpatient or Outpatient)