Lili Posted Thu 27th of October, 2016 18:50:35 PM
I need a CPT code for Vitrectomy with removal of dislocated intraocular lens and replacement for an anterior chamber lens, peripheral iridectomies
DX: Dislocated intraocular lens into vitreous cavity left eye
SuperCoder Answered Fri 28th of October, 2016 01:16:48 AM
Greetings from SuperCoder.com!
Please note that codes for vitrectomy are based upon the approach utilized (e.g. anterior, pars plana etc.). Please read your documentation carefully and report codes as follows:
- If vitrectomy is done mechanically via pars plana approach, report code 67036 or report 67039 if done with focal endolaser photocoagulation.
- Report 66986 for exchange of intraocular lens.
- Iridectomy is usually performed prophylactically. After vitrectomy, the eye is filled with silicon oil, which requires peripheral iridectomy to prevent pupillary block glaucoma. So you should not bill iridectomy separately unless there is a separate indication for doing so.