2025 CPT code 67500
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Eye and Ocular Adnexa Surgery Feed
Retrobulbar injection of medication; a separate procedure, excluding medication supply.
Modifiers 22, 50, 51, 59, and others may be applicable depending on the circumstances of the procedure. Consult the CPT manual for modifier usage guidelines.
Medical necessity for retrobulbar injection is established when conservative management options have failed or are unsuitable for the specific eye condition.The procedure should be deemed medically necessary based on the severity of symptoms and potential benefit of the retrobulbar injection in improving the patient's condition.
The ophthalmologist or qualified healthcare professional is responsible for proper patient preparation, anesthesia administration (if needed), precise needle insertion into the retrobulbar space, and accurate medication injection.Post-procedure monitoring for adverse effects is also a key clinical responsibility.
In simple words: The doctor injects medicine behind the eyeball to treat an eye problem. This is a separate procedure from providing the medicine itself.
This procedure involves the injection of medication into the retrobulbar space (behind the eyeball) to treat an eye condition.After appropriate patient preparation and anesthesia, a blunt-tipped needle is inserted through the outer half of the lower eyelid, above the orbital floor, to reach the orbital apex. The intermuscular septum is pierced, and the medication is injected into the retrobulbar space.The code does not include the cost of the medication itself.
Example 1: A patient presents with an inflammatory condition of the orbit.The physician performs a retrobulbar injection of corticosteroids to reduce inflammation., A patient diagnosed with Graves' ophthalmopathy experiences significant proptosis (eye bulging).Retrobulbar injection of a medication to reduce the muscle inflammation is administered., A patient requires retrobulbar anesthesia before undergoing a complex ophthalmological procedure.The injection of an anesthetic agent is performed before the main procedure.
* Detailed patient history, including the specific eye condition being treated.* Documentation of the type and amount of medication injected.* Note indicating the approach used (e.g., through the lower eyelid).* Record of any complications or adverse effects.* Consent form for the procedure.
** This code should only be reported when the retrobulbar injection is performed as a separate procedure and not as part of another service.The supply of medication is not included in this code.
- Revenue Code: P4E (EYE PROCEDURE - OTHER)
- Payment Status: Active
- Modifier TC rule: A technical component (TC) modifier is not directly applicable to this code as it represents a complete procedure.
- Specialties:Ophthalmology
- Place of Service:Office, Ambulatory Surgical Center, Hospital Outpatient