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Ophthalmic ultrasonic foreign body localization is a specialized non-invasive diagnostic procedure that employs high-frequency sound waves to visualize the internal structures of the eye. This technique utilizes a transducer probe, which is placed firmly against the closed eyelid, to emit sound waves that penetrate the eye and create a detailed gray scale image of its anatomy. The primary advantage of this method is its ability to detect radiolucent foreign bodies—objects that do not appear on standard X-ray or CT imaging—thereby providing critical information for diagnosis and treatment. During the procedure, the ultrasound not only identifies the size, shape, and precise location of the foreign body but also evaluates the extent of any intraocular trauma that may have occurred. This assessment is vital for determining the appropriate management strategy for the injury. The procedure involves applying ultrasonic conduction gel over the eyelid to enhance sound wave transmission, followed by scanning the eye in both sagittal and transverse planes. The fluid-filled nature of the eye allows for excellent acoustic properties, resulting in high-quality images. Additionally, both the affected and unaffected eye may be examined to facilitate comparison and enhance diagnostic accuracy.
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Ophthalmic ultrasonic foreign body localization is indicated for the following conditions:
The procedure for ophthalmic ultrasonic foreign body localization involves several key steps:
After the completion of the ophthalmic ultrasonic foreign body localization procedure, the patient may be monitored for any immediate reactions to the gel or discomfort. There are typically no significant recovery requirements, as the procedure is non-invasive and does not involve any surgical intervention. Patients can usually resume normal activities shortly after the procedure. However, follow-up care may be necessary depending on the findings of the ultrasound, particularly if a foreign body is detected or if there is evidence of intraocular trauma that requires further management.
| Short Descr | ECHO EXAM OF EYE | Medium Descr | OPHTHALMIC ULTRASONIC FOREIGN BODY LOCALIZATION | Long Descr | Ophthalmic ultrasonic foreign body localization | Status Code | Active Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 1 - Diagnostic Tests for Radiology Services | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 3 - The usual payment adjustment for bilateral procedures does not apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - 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 | STV-Packaged Codes | ASC Payment Indicator | Packaged service/item; no separate payment made. | Type of Service (TOS) | 4 - Diagnostic Radiology | Berenson-Eggers TOS (BETOS) | I3A - Echography/ultrasonography - eye | MUE | 2 | CCS Clinical Classification | 192 - Diagnostic ultrasound of head and neck |
| RT | Right side (used to identify procedures performed on the right side of the body) | 26 | Professional component: certain procedures are a combination of a physician or other qualified health care professional component and a technical component. when the physician or other qualified health care professional component is reported separately, the service may be identified by adding modifier 26 to the usual procedure number. | 50 | Bilateral procedure: unless otherwise identified in the listings, bilateral procedures that are performed at the same session, should be identified by adding modifier 50 to the appropriate 5 digit code. note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 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.) | GC | This service has been performed in part by a resident under the direction of a teaching physician | LT | Left side (used to identify procedures performed on the left side of the body) | TC | Technical component; under certain circumstances, a charge may be made for the technical component alone; under those circumstances the technical component charge is identified by adding modifier 'tc' to the usual procedure number; technical component charges are institutional charges and not billed separately by physicians; however, portable x-ray suppliers only bill for technical component and should utilize modifier tc; the charge data from portable x-ray suppliers will then be used to build customary and prevailing profiles | X4 | Episodic/focused services: for reporting services by clinicians who provide focused care on particular types of treatment limited to a defined period and circumstance; the patient has a problem, acute or chronic, that will be treated with surgery, radiation, or some other type of generally time-limited intervention; reporting clinician service examples include but are not limited to, the orthopedic surgeon performing a knee replacement and seeing the patient through the postoperative period |
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