Philadelphia Regional Ophthalmic Society
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Sean Patrick Murphy

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Administrator's Notes
Kathleen Santa Maria
CODING UPDATE 2008

CPT Additions and Changes

67038 Vitrectomy with epiretinal membrane stripping has been deleted and replaced by:

67041 Vitrectomy, mechanical, pars plana approach: with removal of preretinal cellular membrane (eg. macular pucker)
67042 Vitrectomy, mechanical, pars plana approach: with removal of internal limiting membrane of retina (e.g. for repair of macular hole, diabetic macular edema), include if performed, intraocular tamponade (i.e. air, gas or silicone oil)
67043 Vitrectomy, mechanical, pars plana approach: with removal of subretinal membrane (e.g., choroidal neovascularization), includes, if performed, intraocular tamponade (i.e. air, gas or silicone oil)

67113 Repair of complex retinal detachment (e.g, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction retinal detachment, retinopathy of prematurity, retinal tear of greater than 90 degrees), with Vitrectomy and membrane peeling, may include air, gas or silicone oil tamponade, cryotherapy, endolaser photocoagulation, drainage of subretinal fluid, scleral buckling, and/ or removal of lens

67229 Treatment of extensive or progressive retinopathy, one or more sessions; preterm infant (less than 37 weeks gestation at birth), performed from birth up to 1 year of age (e.g. retinopathy of prematurity), photocoagulation or cryotherapy

67227 and 67228 have changes in the description

68816 Probing of nasolacrimal duct, with or without irrigation; with transluminal balloon catheter dilation

92135 Scanning computerized ophthalmic diagnostic imaging has been changed to include the words posterior segment

0187T Scanning computerized ophthalmic diagnostic imaging, anterior segment of the eye. This procedure is considered investigational and is not eligible for reimbursement

ICD 9 Changes (effective October 2007)

364.8 other disorders of the iris and ciliary body has been deleted and replaced by:

364.81 Floppy iris syndrome
364.89 Other disorders of the iris and ciliary body

PQRI CHANGES
The following codes have been deleted for 2008:

1055F Cataract: Visual Functional status assessed during one or more OV in 12 months
Visual difficulty or no visual difficulty

4007F AMD: Pt prescribed/recommended AREDS within 12 months
Documentation MUST use term AREDS

3073F Cataract: Axial length within 6 months prior to surgery

2020F Cataract: Pre-surgical dilated fundus evaluation within 6 months of surgery

New Code effective January 1, 2008:

2022F Dilated Eye Exam in Diabetic Patient Performed by an Eye Care Professional with interpretation by an ophthalmologist or optometrist to the physician managing ongoing diabetic care (age 18-75)