Adopted Regulation February 18, 2010



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66225

1,020.29

Repair of scleral staphyloma; with graft

66250

499.77

Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure

66500

230.96

Iridotomy by stab incision (separate procedure); except transfixion

66505

230.96

Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe

66600

657.82

Iridectomy, with corneoscleral or corneal section; for removal of lesion

66605

657.82

Iridectomy, with corneoscleral or corneal section; with cyclectomy

66625

467.71

Iridectomy, with corneoscleral or corneal section; peripheral for glaucoma (separate procedure)

66630

657.82

Iridectomy, with corneoscleral or corneal section; sector for glaucoma (separate procedure)

66635

657.82

Iridectomy, with corneoscleral or corneal section; optical (separate procedure)

66680

657.82

Repair of iris, ciliary body (as for iridodialysis)

66682

629.73

Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (e.g., McCannel suture)

66700

499.77

Ciliary body destruction; diathermy

66710

499.77

Ciliary body destruction; cyclophotocoagulation, transscleral

66711

499.77

Ciliary body destruction; cyclophotocoagulation, endoscopic

66720

499.77

Ciliary body destruction; cryotherapy

66740

629.73

Ciliary body destruction; cyclodialysis

66761

170.74

Iridotomy/iridectomy by laser surgery (e.g., for glaucoma) (one or more sessions)

66762

173.66

Iridoplasty by photocoagulation (one or more sessions) (e.g., for improvement of vision, for widening of anterior chamber angle)

66770

191.25

Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure)

66820

169.67

Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); stab incision technique (Ziegler or Wheeler knife)

66821

232.74

Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (e.g., YAG laser) (one or more stages)

66825

710.47

Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure)

66830

248.48

Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral section, with or without iridectomy (iridocapsulotomy, iridocapsulectomy)

66840

534.14

Removal of lens material; aspiration technique, one or more stages

66850

1,005.66

Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (e.g., phacoemulsification), with aspiration

66852

845.50

Removal of lens material; pars plana approach, with or without vitrectomy

66920

845.50

Removal of lens material; intracapsular

66930

883.67

Removal of lens material; intracapsular, for dislocated lens

66940

572.32

Removal of lens material; extracapsular (other than 66840, 66850, 66852)

66982

868.23

Extracapsular cataract removal with insertion of intraocular lens prosthesis (one stage procedure), manual or mechanical technique (e.g., irrigation and aspiration or phacoemulsification), complex, requiring devices or techniques not generally used in routine cataract surgery (e.g., iris expansion device, suture support for intraocular lens, or primary posterior capsulorrhexis) or performed on patients in the amblyogenic developmental stage

66983

868.23

Intracapsular cataract extraction with insertion of intraocular lens prosthesis (one stage procedure)

66984

868.23

Extracapsular cataract removal with insertion of intraocular lens prosthesis (one stage procedure), manual or mechanical technique (e.g., irrigation and aspiration or phacoemulsification)

66985

803.73

Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal

66986

803.73

Exchange of intraocular lens

67005

681.97

Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal

67010

681.97

Removal of vitreous, anterior approach (open sky technique or limbal incision); subtotal removal with mechanical vitrectomy

67015

839.49

Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior sclerotomy)

67025

551.65

Injection of vitreous substitute, pars plana or limbal approach, (fluid-gas exchange), with or without aspiration (separate procedure)

67027

969.81

Implantation of intravitreal drug delivery system (e.g., ganciclovir implant), includes concomitant removal of vitreous

67028

76.28

Intravitreal injection of a pharmacologic agent (separate procedure)

67030

551.65

Discission of vitreous strands (without removal), pars plana approach

67031

232.74

Severing of vitreous strands, vitreous face adhesions, sheets, membranes or opacities, laser surgery (one or more stages)

67036

969.81

Vitrectomy, mechanical, pars plana approach;

67039

1,129.98

Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation

67040

1,129.98

Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation

67041

1,386.75

Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (e.g., macular pucker)

67042

1,386.75

Vitrectomy, mechanical, pars plana approach; with removal of internal limiting membrane of retina (e.g., for repair of macular hole, diabetic macular edema), includes, if performed, intraocular tamponade (ie, air, gas or silicone oil)

67043

1,386.75

Vitrectomy, mechanical, pars plana approach; with removal of subretinal membrane (e.g., choroidal neovascularization), includes, if performed, intraocular tamponade (ie, air, gas or silicone oil) and laser photocoagulation

67101

211.70

Repair of retinal detachment, one or more sessions; cryotherapy or diathermy, with or without drainage of subretinal fluid

67105

191.25

Repair of retinal detachment, one or more sessions; photocoagulation, with or without drainage of subretinal fluid

67107

1,007.99

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

67108

1,129.98

Repair of retinal detachment; with vitrectomy, any method, with or without air or gas tamponade, focal endolaser photocoagulation, cryotherapy, drainage of subretinal fluid, scleral buckling, and/or removal of lens by same technique

67110

307.72

Repair of retinal detachment; by injection of air or other gas (e.g., pneumatic retinopexy)

67112

1,129.98

Repair of retinal detachment; by scleral buckling or vitrectomy, on patient having previous ipsilateral retinal detachment repair(s) using scleral buckling or vitrectomy techniques

67113

1,386.75

Repair of complex retinal detachment (e.g., proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction retinal detachment, retinopathy of prematurity, retinal tear of greater than 90 degrees), with vitrectomy and membrane peeling, may include air, gas, or silicone oil tamponade, cryotherapy, endolaser photocoagulation, drainage of subretinal fluid, scleral buckling, and/or removal of lens

67115

601.23

Release of encircling material (posterior segment)

67120

601.23

Removal of implanted material, posterior segment; extraocular

67121

601.23

Removal of implanted material, posterior segment; intraocular

67141

211.93

Prophylaxis of retinal detachment (e.g., retinal break, lattice degeneration) without drainage, one or more sessions; cryotherapy, diathermy

67145

180.80

Prophylaxis of retinal detachment (e.g., retinal break, lattice degeneration) without drainage, one or more sessions; photocoagulation (laser or xenon arc)

67208

192.82

Destruction of localized lesion of retina (e.g., macular edema, tumors), one or more sessions; cryotherapy, diathermy

67210

191.25

Destruction of localized lesion of retina (e.g., macular edema, tumors), one or more sessions; photocoagulation

67218

720.14

Destruction of localized lesion of retina (e.g., macular edema, tumors), one or more sessions; radiation by implantation of source (includes removal of source)

67220

211.70

Destruction of localized lesion of choroid (e.g., choroidal neovascularization); photocoagulation (e.g., laser), one or more sessions

67221

108.74

Destruction of localized lesion of choroid (e.g., choroidal neovascularization); photodynamic therapy (includes intravenous infusion)

67225

7.47

Destruction of localized lesion of choroid (e.g., choroidal neovascularization); photodynamic therapy, second eye, at single session (List separately in addition to code for primary eye treatment)

67227

551.65

Destruction of extensive or progressive retinopathy (e.g., diabetic retinopathy), one or more sessions; cryotherapy, diathermy

67228

191.25

Destruction of extensive or progressive retinopathy (e.g., diabetic retinopathy), one or more sessions; photocoagulation (laser or xenon arc)

67229

191.25

Treatment of extensive or progressive retinopathy, one or more sessions; preterm infant (less than 37 weeks gestation at birth), performed from birth up to 1 year of age (e.g., retinopathy of prematurity), photocoagulation or cryotherapy

67250

574.59

Scleral reinforcement (separate procedure); without graft

67255

629.32

Scleral reinforcement (separate procedure); with graft

67311

671.61

Strabismus surgery, recession or resection procedure; one horizontal muscle

67312

724.27

Strabismus surgery, recession or resection procedure; two horizontal muscles

67314

724.27

Strabismus surgery, recession or resection procedure; one vertical muscle (excluding superior oblique)

67316

724.27

Strabismus surgery, recession or resection procedure; two or more vertical muscles (excluding superior oblique)

67318

724.27

Strabismus surgery, any procedure, superior oblique muscle

67320

724.27

Transposition procedure (e.g., for paretic extraocular muscle), any extraocular muscle (specify) (List separately in addition to code for primary procedure)

67331

724.27

Strabismus surgery on patient with previous eye surgery or injury that did not involve the extraocular muscles (List separately in addition to code for primary procedure)

67332

724.27

Strabismus surgery on patient with scarring of extraocular muscles (e.g., prior ocular injury, strabismus or retinal detachment surgery) or restrictive myopathy (e.g., dysthyroid ophthalmopathy) (List separately in addition to code for primary procedure)

67334

724.27

Strabismus surgery by posterior fixation suture technique, with or without muscle recession (List separately in addition to code for primary procedure)

67335

724.27

Placement of adjustable suture(s) during strabismus surgery, including postoperative adjustment(s) of suture(s) (List separately in addition to code for specific strabismus surgery)

67340

724.27

Strabismus surgery involving exploration and/or repair of detached extraocular muscle(s) (List separately in addition to code for primary procedure)

67343

884.42

Release of extensive scar tissue without detaching extraocular muscle (separate procedure)

67345

75.64

Chemodenervation of extraocular muscle

67346

409.09

Biopsy of extraocular muscle

67400

574.59

Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy

67405

749.23

Orbitotomy without bone flap (frontal or transconjunctival approach); with drainage only

67412

665.42

Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of lesion

67413

787.40

Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body

67414

1,399.16

Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression

67415

496.92

Fine needle aspiration of orbital contents

67420

1,014.19

Orbitotomy with bone flap or window, lateral approach (e.g., Kroenlein); with removal of lesion

67430

1,014.19

Orbitotomy with bone flap or window, lateral approach (e.g., Kroenlein); with removal of foreign body

67440

1,014.19



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