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AVAILABLE CPT CODES BY AREA AND TYPE For Ophthalmology

CATARACT NON-PHACOEMULSIFICATION ECCE

CPT Code Description

66840 66852 66940 66982

66984

Removal of lens material; aspiration technique, one or more stages Removal of lens material; pars plana approach, with or without vitrectomy Removal of lens material; extracapsular (other than 66840, 66850, 66852) Extracapsular cataract removal with insertion of intraocular lens prosthesis (one stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification), complex, requiring devices or techniques not generally used in routine cataract surgery (eg, iris expansion device, suture support for intraocular lens, or primary posterior capsulorrhexis) or performed on patients in the amblyogenic developmental stage Extracapsular cataract removal with insertion of intraocular lens prosthesis (one stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification)

PHACOEMULSIFICATION

CPT Code Description

66850 66982

66984

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

CORNEAL SURGERY LASIK/PRK, CK

CPT Code Description

65760 OTHER CORNEA

CPT Code

Keratomileusis

Description

65400 65410 65770 65800 65805 65865

Excision of lesion, cornea (keratectomy, lamellar, partial), except pterygium Biopsy of cornea Keratoprosthesis Paracentesis of anterior chamber of eye (separate procedure); with diagnostic aspiration of aqueous Paracentesis of anterior chamber of eye (separate procedure); with therapeutic release of aqueous Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); goniosynechiae

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AVAILABLE CPT CODES BY AREA AND TYPE For Ophthalmology

CORNEAL SURGERY OTHER CORNEA

CPT Code Description

65870 65875 65880 65900 66130 66220 66225 66250 68100 68110 68115 68130 68320 68325 68326 68328 68330 68335 68340 68360 68362 68399

Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); anterior synechiae, except goniosynechiae Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); posterior synechiae Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); corneovitreal adhesions Removal of epithelial downgrowth, anterior chamber of eye Excision of lesion, sclera Repair of scleral staphyloma; without graft Repair of scleral staphyloma; with graft Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure Biopsy of conjunctiva Excision of lesion, conjunctiva; up to 1 cm Excision of lesion, conjunctiva; over 1 cm Excision of lesion, conjunctiva; with adjacent sclera Conjunctivoplasty; with conjunctival graft or extensive rearrangement Conjunctivoplasty; with buccal mucous membrane graft (includes obtaining graft) Conjunctivoplasty, reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement Conjunctivoplasty, reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft) Repair of symblepharon; conjunctivoplasty, without graft Repair of symblepharon; with free graft conjunctiva or buccal mucous membrane (includes obtaining graft) Repair of symblepharon; division of symblepharon, with or without insertion of conformer or contact lens Conjunctival flap; bridge or partial (separate procedure) Conjunctival flap; total (such as Gunderson thin flap or purse string flap) Unlisted procedure, conjunctiva

PENETRATING KERATOPLASTY

CPT Code Description

65730 65750 65755 PTERYGIUM EXCISION

CPT Code

Keratoplasty (corneal transplant); penetrating (except in aphakia) Keratoplasty (corneal transplant); penetrating (in aphakia) Keratoplasty (corneal transplant); penetrating (in pseudophakia)

Description

65420 65426

Excision or transposition of pterygium; without graft Excision or transposition of pterygium; with graft

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AVAILABLE CPT CODES BY AREA AND TYPE For Ophthalmology

CORNEAL SURGERY REFRACTIVE SURGERY

CPT Code Description

65710 65760 65767 65771 65772 65775 GLAUCOMA FILTERING PROCEDURES

CPT Code

Keratoplasty (corneal transplant); lamellar Keratomileusis Epikeratoplasty Radial keratotomy Corneal relaxing incision for correction of surgically induced astigmatism Corneal wedge resection for correction of surgically induced astigmatism

Description

66150 66155 66160 66170 66172

Fistulization of sclera for glaucoma; trephination with iridectomy Fistulization of sclera for glaucoma; thermocauterization with iridectomy Fistulization of sclera for glaucoma; sclerectomy with punch or scissors, with iridectomy Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous ocular surgery or trauma (includes injection of antifibrotic agents)

OTHER GLAUCOMA

CPT Code Description

65800 65805 65820 65850 65930 66020 66225 66600 66625 66635 66680 66682 66740 66999

Paracentesis of anterior chamber of eye (separate procedure); with diagnostic aspiration of aqueous Paracentesis of anterior chamber of eye (separate procedure); with therapeutic release of aqueous Goniotomy Trabeculotomy ab externo Removal of blood clot, anterior segment of eye Injection, anterior chamber of eye (separate procedure); air or liquid Repair of scleral staphyloma; with graft Iridectomy, with corneoscleral or corneal section; for removal of lesion Iridectomy, with corneoscleral or corneal section; peripheral for glaucoma (separate procedure) Iridectomy, with corneoscleral or corneal section; optical (separate procedure) Repair of iris, ciliary body (as for iridodialysis) Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture) Ciliary body destruction; cyclodialysis Unlisted procedure, anterior segment of eye

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AVAILABLE CPT CODES BY AREA AND TYPE For Ophthalmology

GLAUCOMA SHUNTING PROCEDURES

CPT Code Description

66180 66185 GLAUCOMA LASERS

Aqueous shunt to extraocular reservoir (eg, Molteno, Schocket, Denver-Krupin) Revision of aqueous shunt to extraocular reservoir

CYCLODESTRUCTIVE PROCEDURES (INCLUDES CRYO)

CPT Code Description

66710 66720 LASER IRIDOTOMY

CPT Code

Ciliary body destruction; cyclophotocoagulation, transscleral Ciliary body destruction; cryotherapy

Description

66761 LASER TRABECULOPLASTY

CPT Code

Iridotomy/iridectomy by laser surgery (eg, for glaucoma) (one or more sessions)

Description

65855

Trabeculoplasty by laser surgery, one or more sessions (defined treatment series)

OTHER GLAUCOMA LASERS (INCLUDING IRIDOPLASTY)

CPT Code Description

65860 66762 66770 GLOBE TRAUMA

Severing adhesions of anterior segment, laser technique (separate procedure) Iridoplasty by photocoagulation (one or more sessions) (eg, for improvement of vision, for widening of anterior chamber angle) Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure)

CORNEAL/CORNEOSCLERAL LACERATION & GLOBE RUPTURE

CPT Code Description

65270 65272 65273 65275 65280 65285

Repair of laceration; conjunctiva, with or without nonperforating laceration sclera, direct closure Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization Repair of laceration; conjunctiva, by mobilization and rearrangement, with hospitalization Repair of laceration; cornea, nonperforating, with or without removal foreign body Repair of laceration; cornea and/or sclera, perforating, not involving uveal tissue Repair of laceration; cornea and/or sclera, perforating, with reposition or resection of uveal tissue

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AVAILABLE CPT CODES BY AREA AND TYPE For Ophthalmology

GLOBE TRAUMA INTRAOCULAR FOREIGN BODY

CPT Code Description

65235 65260 65265

Removal of foreign body, intraocular; from anterior chamber of eye or lens Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route Removal of foreign body, intraocular; from posterior segment, nonmagnetic extraction

OTHER GLOBE TRAUMA (EG, ANTERIOR CHAMBER WASHOUT)

CPT Code Description

65286 65815 65930 66020 66680 66682 92018

92019

Repair of laceration; application of tissue glue, wounds of cornea and/or sclera Paracentesis of anterior chamber of eye (separate procedure); with removal of blood, with or without irrigation and/or air injection Removal of blood clot, anterior segment of eye Injection, anterior chamber of eye (separate procedure); air or liquid Repair of iris, ciliary body (as for iridodialysis) Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture) Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; complete Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; limited

OCULOPLASTIC AND ORBIT BLEPHAROPLASTY/RECONSTRUCTION

CPT Code Description

15820 15821 15822 15823 67950 67961

67966

67971 67973 67974

Blepharoplasty, lower eyelid; Blepharoplasty, lower eyelid; with extensive herniated fat pad Blepharoplasty, upper eyelid; Blepharoplasty, upper eyelid; with excessive skin weighting down lid Canthoplasty (reconstruction of canthus) Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin graft or pedicle flap with adjacent tissue transfer or rearrangement; up to one-fourth of lid margin Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin graft or pedicle flap with adjacent tissue transfer or rearrangement; over one-fourth of lid margin Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds of eyelid, one stage or first stage Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, lower, one stage or first stage Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, upper, one stage or first stage

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AVAILABLE CPT CODES BY AREA AND TYPE For Ophthalmology

OCULOPLASTIC AND ORBIT BLEPHAROPLASTY/RECONSTRUCTION

CPT Code Description

67975 67999 CHALAZION EXCISION

CPT Code

Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage Unlisted procedure, eyelids

Description

67800 67801 67805 67808

Excision of chalazion; single Excision of chalazion; multiple, same lid Excision of chalazion; multiple, different lids Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple

ENTROPION/ECTROPION REPAIR

CPT Code Description

67914 67916 67917 67921 67923 67924 EYE REMOVAL AND IMPLANT

CPT Code

Repair of ectropion; suture Repair of ectropion; excision tarsal wedge Repair of ectropion; extensive (eg, tarsal strip operations) Repair of entropion; suture Repair of entropion; excision tarsal wedge Repair of entropion; extensive (eg, tarsal strip or capsulopalpebral fascia repairs operation)

Description

65091 65093 65101 65103 65105 65110 65112 65114 65125 65130 65135 65140 65150 65155

Evisceration of ocular contents; without implant Evisceration of ocular contents; with implant Enucleation of eye; without implant Enucleation of eye; with implant, muscles not attached to implant Enucleation of eye; with implant, muscles attached to implant Exenteration of orbit (does not include skin graft), removal of orbital contents; only Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage) (separate procedure) Insertion of ocular implant secondary; after evisceration, in scleral shell Insertion of ocular implant secondary; after enucleation, muscles not attached to implant Insertion of ocular implant secondary; after enucleation, muscles attached to implant Reinsertion of ocular implant; with or without conjunctival graft Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant

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AVAILABLE CPT CODES BY AREA AND TYPE For Ophthalmology

OCULOPLASTIC AND ORBIT EYE REMOVAL AND IMPLANT

CPT Code Description

65175

Removal of ocular implant

EYELID LACERATION/CANALICULAR REPAIR

CPT Code Description

12011 12013 12014 12015 12016 12017 12018 12020 12051 12052 12053 12054 12055 12056 12057 13150 13151 13152 13153 13160 14060 14061

Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 20.1 cm to 30.0 cm Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm Treatment of superficial wound dehiscence; simple closure Layer closure of wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less Layer closure of wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm Layer closure of wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm Layer closure of wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm Layer closure of wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm Layer closure of wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 20.1 cm to 30.0 cm Layer closure of wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm Repair, complex, eyelids, nose, ears and/or lips; 1.0 cm or less Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm Repair, complex, eyelids, nose, ears and/or lips; each additional 5 cm or less (List separately in addition to code for primary procedure) Secondary closure of surgical wound or dehiscence, extensive or complicated Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10.1 sq cm to 30.0 sq cm

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7

AVAILABLE CPT CODES BY AREA AND TYPE For Ophthalmology

OCULOPLASTIC AND ORBIT EYELID LACERATION/CANALICULAR REPAIR

CPT Code Description

15120

15121

15260 15261 15576 15630 67930 67935 68700 68815 LACRIMAL SURGERY

CPT Code

Split graft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet and/or multiple digits; first 100 sq cm or less, or one percent of body area of infants and children (except 15050) Split graft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet and/or multiple digits; each additional 100 sq cm, or each additional one percent of body area of infants and children, or part thereof (List separately in addition to code for primary procedure) Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; each additional 20 sq cm (List separately in addition to code for primary procedure) Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral Delay of flap or sectioning of flap (division and inset); at eyelids, nose, ears, or lips Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; partial thickness Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full thickness Plastic repair of canaliculi Probing of nasolacrimal duct, with or without irrigation; with insertion of tube or stent

Description

68400 68420 68440 68500 68505 68510 68520 68525 68530 68540 68550 68700 68720 68745 68750 68760 68770 68810 68811 68815 68840

Incision, drainage of lacrimal gland Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy) Snip incision of lacrimal punctum Excision of lacrimal gland (dacryoadenectomy), except for tumor; total Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial Biopsy of lacrimal gland Excision of lacrimal sac (dacryocystectomy) Biopsy of lacrimal sac Removal of foreign body or dacryolith, lacrimal passages Excision of lacrimal gland tumor; frontal approach Excision of lacrimal gland tumor; involving osteotomy Plastic repair of canaliculi Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); without tube Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery Closure of lacrimal fistula (separate procedure) Probing of nasolacrimal duct, with or without irrigation; Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia Probing of nasolacrimal duct, with or without irrigation; with insertion of tube or stent Probing of lacrimal canaliculi, with or without irrigation

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AVAILABLE CPT CODES BY AREA AND TYPE For Ophthalmology

OCULOPLASTIC AND ORBIT LACRIMAL SURGERY

CPT Code Description

68899

Unlisted procedure, lacrimal system

OTHER OCULOPLASTIC SURGERY

CPT Code Description

11310 11311 11312 11313 11440 11441 11442 11443 11444 11446 11640 11641 11642 11643 11644 11646 15760 15770 17280

17281

Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.5 cm or less Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.6 to 1.0 cm Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 1.1 to 2.0 cm Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter over 2.0 cm Excision, other benign lesion including margins (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.5 cm or less Excision, other benign lesion including margins (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.6 to 1.0 cm Excision, other benign lesion including margins (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 1.1 to 2.0 cm Excision, other benign lesion including margins (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 2.1 to 3.0 cm Excision, other benign lesion including margins (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 3.1 to 4.0 cm Excision, other benign lesion including margins (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter over 4.0 cm Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.6 to 1.0 cm Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 1.1 to 2.0 cm Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter over 4.0 cm Graft; composite (eg, full thickness of external ear or nasal ala), including primary closure, donor area Graft; derma-fat-fascia Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.5 cm or less Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.6 to 1.0 cm

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AVAILABLE CPT CODES BY AREA AND TYPE For Ophthalmology

OCULOPLASTIC AND ORBIT OTHER OCULOPLASTIC SURGERY

CPT Code Description

17282

17283

17284

17286

21275 21280 21282 64612 67710 67715 67810 67825 67830 67835 67840 67850 67911 67938 67950 67999 68770

Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 1.1 to 2.0 cm Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 2.1 to 3.0 cm Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 3.1 to 4.0 cm Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter over 4.0 cm Secondary revision of orbitocraniofacial reconstruction Medial canthopexy (separate procedure) Lateral canthopexy Chemodenervation of muscle(s); muscle(s) innervated by facial nerve (eg, for blepharospasm, hemifacial spasm) Severing of tarsorrhaphy Canthotomy (separate procedure) Biopsy of eyelid Correction of trichiasis; epilation by other than forceps (eg, by electrosurgery, cryotherapy, laser surgery) Correction of trichiasis; incision of lid margin Correction of trichiasis; incision of lid margin, with free mucous membrane graft Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure Destruction of lesion of lid margin (up to 1 cm) Correction of lid retraction Removal of embedded foreign body, eyelid Canthoplasty (reconstruction of canthus) Unlisted procedure, eyelids Closure of lacrimal fistula (separate procedure)

OTHER ORBITAL SURGERY (EG, ORBITOTOMY)

CPT Code Description

21256 21260 21261 21263 21267

Reconstruction of orbit with osteotomies (extracranial) and with bone grafts (includes obtaining autografts) (eg, micro-ophthalmia) Periorbital osteotomies for orbital hypertelorism, with bone grafts; extracranial approach Periorbital osteotomies for orbital hypertelorism, with bone grafts; combined intra- and extracranial approach Periorbital osteotomies for orbital hypertelorism, with bone grafts; with forehead advancement Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; extracranial approach

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10

AVAILABLE CPT CODES BY AREA AND TYPE For Ophthalmology

OCULOPLASTIC AND ORBIT OTHER ORBITAL SURGERY (EG, ORBITOTOMY)

CPT Code Description

21268 21385 21386 21387 21390 21395 21406 21407 21408 67400 67405 67412 67413 67414 67415 67420 67430 67440 67445 67450 67550 67560 67570 67599 PTOSIS REPAIR

CPT Code

Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; combined intraand extracranial approach Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation) Open treatment of orbital floor blowout fracture; periorbital approach Open treatment of orbital floor blowout fracture; combined approach Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft) Open treatment of fracture of orbit, except blowout; without implant Open treatment of fracture of orbit, except blowout; with implant Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft) Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy Orbitotomy without bone flap (frontal or transconjunctival approach); with drainage only Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of lesion Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression Fine needle aspiration of orbital contents Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of lesion Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy Orbital implant (implant outside muscle cone); insertion Orbital implant (implant outside muscle cone); removal or revision Optic nerve decompression (eg, incision or fenestration of optic nerve sheath) Unlisted procedure, orbit

Description

67900 67901 67902 67903

Repair of brow ptosis (supraciliary, mid-forehead or coronal approach) Repair of blepharoptosis; frontalis muscle technique with suture or other material Repair of blepharoptosis; frontalis muscle technique with fascial sling (includes obtaining fascia) Repair of blepharoptosis; (tarso) levator resection or advancement, internal approach

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11

AVAILABLE CPT CODES BY AREA AND TYPE For Ophthalmology

OCULOPLASTIC AND ORBIT PTOSIS REPAIR

CPT Code Description

67904 67906 67908 67909 TARSORRHAPHY

CPT Code

Repair of blepharoptosis; (tarso) levator resection or advancement, external approach Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia) Repair of blepharoptosis; conjunctivo-tarso-Muller's muscle-levator resection (eg, Fasanella-Servat type) Reduction of overcorrection of ptosis

Description

67880 67882

Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate

TEMPORAL ARTERY BIOPSY

CPT Code Description

37609 OTHER CATARACT ANTERIOR VITRECTOMY

CPT Code

Ligation or biopsy, temporal artery

Description

67005 67010

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

OTHER CATARACT/IOL SURGERY

CPT Code Description

65920 66250 66682 66825 66830

66920 66930

Removal of implanted material, anterior segment of eye Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture) Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral section, with or without iridectomy (iridocapsulotomy, iridocapsulectomy) Removal of lens material; intracapsular Removal of lens material; intracapsular, for dislocated lens

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12

AVAILABLE CPT CODES BY AREA AND TYPE For Ophthalmology

OTHER CATARACT OTHER CATARACT/IOL SURGERY

CPT Code Description

66983 66985 66986 YAG CAPSULOTOMY

CPT Code

Intracapsular cataract extraction with insertion of intraocular lens prosthesis (one stage procedure) Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal Exchange of intraocular lens

Description

66821

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

OTHER RETINAL CRYOTHERAPY

CPT Code Description

67101 67141 67208 67227

Repair of retinal detachment, one or more sessions; cryotherapy or diathermy, with or without drainage of subretinal fluid Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage, one or more sessions; cryotherapy, diathermy Destruction of localized lesion of retina (eg, macular edema, tumors), one or more sessions; cryotherapy, diathermy Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), one or more sessions; cryotherapy, diathermy

PHOTOCOAGULATION (LASER)

CPT Code Description

67031 67039 67040 67105 67145 67210 67220 67221 67228

Severing of vitreous strands, vitreous face adhesions, sheets, membranes or opacities, laser surgery (one or more stages) Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation Repair of retinal detachment, one or more sessions; photocoagulation, with or without drainage of subretinal fluid Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage, one or more sessions; photocoagulation (laser or xenon arc) Destruction of localized lesion of retina (eg, macular edema, tumors), one or more sessions; photocoagulation Destruction of localized lesion of choroid (eg, choroidal neovascularization); photocoagulation (eg, laser), one or more sessions Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy (includes intravenous infusion) Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), one or more sessions; photocoagulation (laser or xenon arc)

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AVAILABLE CPT CODES BY AREA AND TYPE For Ophthalmology

OTHER RETINAL VITREOUS TAP/INJECT

CPT Code Description

67015 67025 67027 67028 67110 RETINA VITREOUS

Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior sclerotomy) Injection of vitreous substitute, pars plana or limbal approach, (fluid-gas exchange), with or without aspiration (separate procedure) Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous Intravitreal injection of a pharmacologic agent (separate procedure) Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy)

POSTERIOR VITRECTOMY (PARS PLANA)

CPT Code Description

67010 67036 67038 67039 67040 67108

67112

Removal of vitreous, anterior approach (open sky technique or limbal incision); subtotal removal with mechanical vitrectomy Vitrectomy, mechanical, pars plana approach; Vitrectomy, mechanical, pars plana approach; with epiretinal membrane stripping Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation 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 Repair of retinal detachment; by scleral buckling or vitrectomy, on patient having previous ipsilateral retinal detachment repair(s) using scleral buckling or vitrectomy techniques

RHEGMATOGENOUS RETINAL DETACHMENT REPAIR

CPT Code Description

67107

67112

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

STRABISMUS ANY MUSCLE SURGERY

CPT Code Description

65290 67311 67312 67314

Repair of wound, extraocular muscle, tendon and/or Tenon's capsule Strabismus surgery, recession or resection procedure; one horizontal muscle Strabismus surgery, recession or resection procedure; two horizontal muscles Strabismus surgery, recession or resection procedure; one vertical muscle (excluding superior oblique)

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14

AVAILABLE CPT CODES BY AREA AND TYPE For Ophthalmology

STRABISMUS ANY MUSCLE SURGERY

CPT Code Description

67316 67318 67320 67331 67332

67334 67335

67340 67343 OTHER STRABISMUS

CPT Code

Strabismus surgery, recession or resection procedure; two or more vertical muscles (excluding superior oblique) Strabismus surgery, any procedure, superior oblique muscle Transposition procedure (eg, for paretic extraocular muscle), any extraocular muscle (specify) (List separately in addition to code for primary procedure) 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) Strabismus surgery on patient with scarring of extraocular muscles (eg, prior ocular injury, strabismus or retinal detachment surgery) or restrictive myopathy (eg, dysthyroid ophthalmopathy) (List separately in addition to code for primary procedure) Strabismus surgery by posterior fixation suture technique, with or without muscle recession (List separately in addition to code for primary procedure) 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) Strabismus surgery involving exploration and/or repair of detached extraocular muscle(s) (List separately in addition to code for primary procedure) Release of extensive scar tissue without detaching extraocular muscle (separate procedure)

Description

67345 67350 67399

Chemodenervation of extraocular muscle Biopsy of extraocular muscle Unlisted procedure, ocular muscle

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15

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