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The procedure described by CPT® Code 67115 refers to the release of encircling material, specifically in the context of the posterior segment of the eye. This procedure is commonly associated with the management of complications arising from a scleral buckle, which is a type of encircling material used to support the eye and treat conditions such as retinal detachment. The release of this material is typically indicated when there is an infection or when the buckle has intruded into the scleral tissue, potentially causing further complications. During the procedure, a lid speculum is utilized to hold the eyelids open, providing the surgeon with a clear view of the eye. Local anesthesia is administered to ensure patient comfort throughout the process. The surgical approach involves detaching one of the rectus muscles to gain access to the sclera, where the encircling material is located. The surgeon then carefully cuts and removes the encircling material. In cases where the implant has become embedded within the scleral tissue, specialized instruments such as a fragmatome may be employed to break up and aspirate the pieces of the device. Finally, the rectus muscle is reattached to restore normal anatomical positioning. This procedure is critical for addressing complications associated with scleral buckles and ensuring the health and function of the eye.
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The release of encircling material (scleral buckle) is performed under specific clinical circumstances. The primary indications for this procedure include:
The procedure for the release of encircling material involves several critical steps, each designed to ensure the safe and effective removal of the scleral buckle. The steps are as follows:
Post-procedure care following the release of encircling material is essential for ensuring proper recovery and monitoring for any complications. Patients are typically advised to follow specific instructions regarding activity restrictions, medication use, and follow-up appointments. It is important to monitor for signs of infection or other complications in the days following the procedure. Patients may experience some discomfort or swelling, which can be managed with prescribed medications. Regular follow-up visits are necessary to assess the healing process and ensure that the eye is recovering appropriately.
| Short Descr | RELEASE ENCIRCLING MATERIAL | Medium Descr | RELEASE ENCIRCLING MATERIAL POSTERIOR SEGMENT | Long Descr | Release of encircling material (posterior segment) | 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) | 1 - Statutory payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | 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 | Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P4E - Eye procedure - other | MUE | 1 | CCS Clinical Classification | 20 - Other intraocular therapeutic procedures |
| 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). | 52 | Reduced services: under certain circumstances a service or procedure is partially reduced or eliminated at the discretion of the physician or other qualified health care professional. under these circumstances the service provided can be identified by its usual procedure number and the addition of modifier 52, signifying that the service is reduced. this provides a means of reporting reduced services without disturbing the identification of the basic service. note: for hospital outpatient reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well-being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use). | 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. | 74 | Discontinued out-patient hospital/ambulatory surgery center (asc) procedure after administration of anesthesia: due to extenuating circumstances or those that threaten the well being of the patient, the physician may terminate a surgical or diagnostic procedure after the administration of anesthesia (local, regional block(s), general) or after the procedure was started (incision made, intubation started, scope inserted, etc). under these circumstances, the procedure started but terminated can be reported by its usual procedure number and the addition of modifier 74. note: the elective cancellation of a service prior to the administration of anesthesia and/or surgical preparation of the patient should not be reported. for physician reporting of a discontinued procedure, see modifier 53. | 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.) | 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) |
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| Pre-1990 | Added | Code added. |
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