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Retinal detachment is a serious ocular condition characterized by the separation of the retina from its underlying supportive tissue, the choroid. This separation can lead to significant visual impairment, including blurred vision, and if not addressed promptly, may result in permanent blindness. The procedure described by CPT® Code 67107 involves the surgical repair of retinal detachment through a technique known as scleral buckling. This method is commonly employed to reattach the retina by using a silicone buckle that is placed on the outer surface of the eye. The choice of buckle type and shape is determined by the specific characteristics of the retinal defect, including its size and location. During the procedure, local anesthesia is administered to ensure patient comfort, and a lid speculum is utilized to keep the eyelids open, providing the surgeon with a clear view of the eye. The repair process may include additional techniques such as cryotherapy or laser photocoagulation, which are used to create scar tissue that helps secure the retina back in place. Cryotherapy involves applying a freezing probe to the outer surface of the eye, while photocoagulation uses a laser to burn tissue around the detachment. Both methods promote healing and reattachment of the retina to the choroid. In some cases, the surgeon may also need to drain subretinal fluid to facilitate the reattachment process. This comprehensive approach ensures that the retina is properly secured, thereby restoring vision and preventing further complications.
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The procedure described by CPT® Code 67107 is indicated for the treatment of retinal detachment, which may present with various symptoms and conditions. The following are explicitly provided indications for performing this procedure:
The surgical procedure for repairing retinal detachment using scleral buckling involves several detailed steps, as outlined below:
Following the scleral buckling procedure, patients may require specific post-operative care to ensure proper healing and recovery. This may include monitoring for any signs of complications, such as infection or re-detachment of the retina. Patients are typically advised to follow up with their ophthalmologist for regular examinations to assess the success of the procedure and the health of the retina. Additionally, instructions regarding activity restrictions, medication use, and signs to watch for that may indicate complications will be provided to ensure optimal recovery.
| Short Descr | REPAIR DETACHED RETINA | Medium Descr | REPAIR RETINAL DETACHMENT SCLERAL BUCKLING | Long Descr | Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling procedure), including, when performed, implant, cryotherapy, photocoagulation, and drainage of subretinal fluid | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 1 - 150% payment adjustment for bilateral procedures applies. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 2 - Payment restriction for assistants at surgery does not apply to this procedure... | Co-Surgeons (62) | 1 - Co-surgeons could be paid, though supporting documentation is required... | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | ASC Payment Indicator | Non office-based surgical procedure added in CY 2008 or later; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P4C - Eye procedure - retinal detachment | MUE | 1 | CCS Clinical Classification | 16 - Repair of retinal tear, detachment |
| 80 | Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s). | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) | 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 54 | Surgical care only: when 1 physician or other qualified health care professional performs a surgical procedure and another provides preoperative and/or postoperative management, surgical services may be identified by adding modifier 54 to the usual procedure number. | 55 | Postoperative management only: when 1 physician or other qualified health care professional performed the postoperative management and another performed the surgical procedure, the postoperative component may be identified by adding modifier 55 to the usual procedure number. | 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 78 | Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.) | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | 82 | Assistant surgeon (when qualified resident surgeon not available): the unavailability of a qualified resident surgeon is a prerequisite for use of modifier 82 appended to the usual procedure code number(s). | GC | This service has been performed in part by a resident under the direction of a teaching physician | SG | Ambulatory surgical center (asc) facility service |
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| 2016-01-01 | Changed | Description Changed |
| Pre-1990 | Added | Code added. |
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