2016 CPT®CodingEssentialsforOphthalmology © 2015DecisionHealth in theanteriorchamber. or scleralspur. The suturesarethentiedandburied body totheciliary occurred theirisrootisreattached out throughtheperipheralcornea. has Ifiridodialysis the proximalanddistalleafletsofiristhen and thenthroughtheiris. The needlepassesthrough through aparacentesistractintheanteriorchamber passingtheneedle isrepairedwithsuturesby injury pupil. located a centrally The remainderoftheiris toensure approximated The edgesarecarefully extends intotheirissphincteritisrepairedfirst. theirisleaflets. mobilization tofully lysed Iftheinjury synechiaeare A cornealincisionismadeandany pupil. isusedtoconstrictthepupil.A mioticagent scleral spur. This resultsinanirregularD-shaped bodyor oftheirisrootfromciliary to separation results iniridodialysis, isrepaired. refers body, totheirisorciliary An injury suchasonethat Plain EnglishDescription 65091-68850) (Do notreportcode69990inadditiontocodes et seq) seeMedicine,services Opthamology, and92002 opthalmological andtreatment (For diagnostic Eye andOcularAdnexa AMA CodingNotes: 66680 66680 Speculum Ir idodialysi s Repair ofIris, or , use65285) tissue withperforatingwoundofcornea (For repositionorresectionofuveal iridodialysis) Repair ofiris, body(asfor ciliary An injur y totheir ciliarybod is repaired CPT ©2014 American Medical Association. All rightsreserved. y Suture repair ICD-10-CM DiagnosticCodes 379.31 364.76 364.52 ICD-9-CM DiagnosticCodes T86.841 T86.840 T85.398A T85.328A T85.318A T85.29XA T85.22XA T85.21XA S05.20XA H43.319 H43.00 H27.00 H21.569 H21.549 H21.539 H21.519 H21.509 H21.279 H21.269 H21.259 H21.249 H21.239 H21.229 H21.219 H18.20 H18.10 996.53 996.51 871.1 379.40 379.26 379.25 371.23 371.20 364.75 364.72 364.71 364.70 364.57 364.56 364.55 364.54 364.53 364.51 Corneal transplantfailure Corneal transplantrejection grafts, initialencounter ocular prostheticdevices, implantsand ofother Other mechanicalcomplication encounter devices, implants andgrafts, initial Displacement ofotherocularprosthetic initial encounter prosthetic devices, implantsandgrafts, Breakdown (mechanical)ofotherocular intraocular , initialencounter of Other mechanicalcomplication encounter Displacement ofintraocularlens, initial lens, initialencounter Breakdown (mechanical)ofintraocular eye, initialencounter or lossofintraoculartissue, unspecified andrupturewithprolapse Ocular laceration eye unspecified Vitreous membranesandstrands, Vitreous prolapse,eye unspecified Aphakia,eye unspecified abnormality,Pupillary eye unspecified Posterior synechiae(),eye unspecified Iridodialysis,eye unspecified Anterior synechiae(iris),eye unspecified body,eye unspecified Unspecified adhesionsofirisandciliary cyst,Miotic pupillary eye unspecified eye unspecified (essential)(progressive),Iris atrophy Iridoschisis,eye unspecified eye unspecified margin, ofpupillary Degeneration eye unspecified ofiris(pigmentary),Degeneration eye body, ofciliary Degeneration unspecified eye unspecified ofchamberangle,Degeneration Unspecified cornealedema Bullous keratopathy,eye unspecified prosthesis duetoocularlens Mechanical complication duetocornealgraft Mechanical complication exposure ofintraoculartissue or withprolapse Ocular laceration function,Abnormal pupillary unspecified Aphakia Vitreous prolapse Vitreous membranesandstrands Bullous keratopathy Corneal edema, unspecified Iridodialysis abnormalities Pupillary Anterior synechiaeofiris Posterior synechiaeofiris Adhesions ofiris, unspecified body changesofciliary Degenerative changesofchamberangle Degenerative margin Miotic cystsofpupillary margin ofpupillary Degeneration irisdegeneration Pigmentary Iridoschisis irisatrophy Essential orprogressive

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Male

~ Female l Modifiers (PAR) Non-facility RVUs Facility RVUs No Pub100referencesapply. Pub 100 Nov 2012:10 AMA CPTAssistant See Appendix CCIedits. A for CCI CodingNote NewCode Mod 50 66680 66680 Code Code 1 Mod 51 Work Work 6.39 6.39 s 2 RevisedCode 8.46 PE Non- Facility Mod 62 Facility 8.46 PE 1

: Mod 66 1.36 Add OnCode 1.36 MP MP 0 Global: Total Facility Total Non- Mod 80 Facility 16.21 16.21 64450 1 090 3

CPT® Procedural Coding