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The CPT® Code 0704T refers to the remote treatment of amblyopia, commonly known as lazy eye, utilizing an eye tracking device. Amblyopia is a condition that typically develops in early childhood, characterized by the underdevelopment of the visual pathways, leading to one eye being favored over the other. This can result in the affected eye appearing to wander, either inward or outward, and not functioning in coordination with the other eye. If left untreated, amblyopia can persist into later years, potentially causing significant visual impairment. The eye tracking device serves as an innovative alternative to traditional treatments, such as patching, by providing a more engaging and effective method for therapy. The device allows for binocular treatment, which is essential for developing stereoscopic vision, a critical aspect of depth perception. During the treatment process, children engage with age-appropriate video content from the comfort of their homes, all while under the supervision of a physician who monitors their progress remotely. The system includes proprietary shutter glasses that wirelessly connect to the device, enabling controlled eye occlusion and precise measurements of distance and tilt. As the child watches the screen, optical image sensors embedded in the device meticulously track and record their gaze position, attention, and presence, sampling data at a remarkable rate of 90 times per second. This comprehensive data collection creates a detailed pattern of eye movements, which is then uploaded to a cloud platform for real-time processing and analysis. The immediate feedback provided to caregivers and healthcare providers is invaluable for assessing treatment efficacy. Additionally, the eye tracking device has the potential to identify certain abnormal eye movement patterns that may indicate underlying neurological conditions. For the provision of the device, including the initial setup and patient education on its use, the CPT® Code 0704T should be reported. This code is distinct from others related to the ongoing technical support and professional interpretation of the data collected during treatment, which are reported under CPT® Codes 0705T and 0706T, respectively.
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The remote treatment of amblyopia using an eye tracking device is indicated for children diagnosed with amblyopia, a condition characterized by the underdevelopment of visual pathways leading to one eye being favored over the other. This treatment is particularly relevant for cases where traditional methods, such as patching, may not be effective or feasible. The procedure is designed to address the symptoms associated with amblyopia, including poor visual acuity in the affected eye and difficulties with binocular vision. The use of an eye tracking device is also indicated for children who may benefit from a more engaging and interactive treatment approach, allowing for therapy to be conducted in a home environment under remote supervision.
The procedure for the remote treatment of amblyopia using an eye tracking device involves several key steps that ensure effective treatment and monitoring of the child's progress. Initially, the device is supplied to the patient, which includes the proprietary shutter glasses and the necessary setup for operation. The first step is the initial setup of the eye tracking device, where the equipment is configured to meet the specific needs of the child. This setup process is crucial as it ensures that the device functions correctly and is tailored to the individual’s visual requirements. Following the setup, patient education is provided to both the child and their caregivers. This education is essential for ensuring that the child understands how to use the equipment effectively and engages with the treatment process. Caregivers are instructed on how to assist the child in using the device, including how to access the age-appropriate video content that will be used during therapy sessions. Once the device is operational and the child is educated on its use, the treatment can commence. The child will wear the shutter glasses while watching the selected video content, which is designed to be engaging and suitable for their age. During this time, the eye tracking device will monitor the child's eye movements, tracking gaze position and attention with high precision. The optical image sensors will collect data at a rate of 90 samples per second, creating a detailed record of the child's eye movement patterns. This data is then uploaded to a remote cloud platform, where it is processed in real time. The results of this analysis are made available to both caregivers and healthcare providers, allowing for immediate feedback on the child's progress and treatment effectiveness. This comprehensive approach not only facilitates the treatment of amblyopia but also provides valuable insights that can help in identifying any abnormal eye movement patterns that may indicate neurological conditions.
Post-procedure care for the remote treatment of amblyopia using the eye tracking device involves ongoing monitoring and assessment of the child's progress. After the initial treatment sessions, caregivers are encouraged to continue engaging with the child during therapy, ensuring that they are using the device correctly and consistently. Regular follow-up appointments with the healthcare provider are essential to evaluate the effectiveness of the treatment and make any necessary adjustments to the therapy plan. The data collected during the treatment sessions will be reviewed by the healthcare provider, who will analyze the eye movement patterns and assess improvements in visual acuity and binocular vision. This ongoing evaluation is crucial for determining the success of the treatment and for identifying any potential issues that may arise. Additionally, caregivers should be aware of any changes in the child's visual behavior or any signs of discomfort while using the device. If any concerns arise, they should be promptly communicated to the healthcare provider for further evaluation. Overall, the post-procedure phase emphasizes the importance of continuous support and monitoring to ensure the best possible outcomes for the child undergoing treatment for amblyopia.
| Short Descr | REM TX AMBLYOPIA SETUP&EDU | Medium Descr | REM TX AMBLYOPIA DEV SUPPLY 1ST SETUP&PT EDUCAJ | Long Descr | Remote treatment of amblyopia using an eye tracking device; device supply with initial set-up and patient education on use of equipment | Status Code | Carriers Price the Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 3 - Technical Component Only Code | Multiple Procedures (51) | 9 - Concept does not apply. | Bilateral Surgery (50) | 2 - 150% payment adjustment does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 9 - Concept does not apply. | Co-Surgeons (62) | 9 - Concept does not apply. | Team Surgery (66) | 9 - Concept does not apply. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Non-Covered Service, not paid under OPPS | Berenson-Eggers TOS (BETOS) | none | MUE | 1 |
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| 2022-01-01 | Added | Code added |
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