Diagnostic and Procedural Codes for Glaucoma and Glaucoma Surgery
From Kahook's Essentials Of Glaucoma Therapy
| Primary authors |
|
|---|
| CPT | OR-Based Procedure Name |
|---|---|
| 66180 | Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft (ex. Ahmed Glaucoma Valve) |
| 66179 | Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft |
| 66185 | Glaucoma drainage device revision |
| 66170 | Trabeculectomy with mitomycin C (MMC) (no prior conjunctival surgery) |
| 66172 | Trabeculectomy with MMC (prior conjunctival surgery) |
| 66250 | Revision of trabeculectomy |
| 66183 |
Insertion of an anterior segment drainage device utilizing an external surgical approach without reservoir
(example, ExPRESS Glaucoma Filtration Device) |
| 66174 | Transluminal dilation of aqueous outflow canal; without retention of device or stent |
| 66175 | Transluminal dilation of aqueous outflow canal; with retention of device or stent |
| 0191T |
Insertion of anterior segment aqueous drainage device, without extraocular reservoir, internal approach, into the trabecular meshwork; initial insertion
ex. iStent, Hydrus |
| 0376T | Each additional device insertion (List separately in addition to code for primary procedure) (Use 0376T in conjunction with 0191T) |
| 0253T | Insertion of anterior segment aqueous drainage device, without extraocular reservoir, internal approach, into the suprachoroidal space |
| 66710 | Ciliary body destruction, cyclophotocoagulation |
| 66711 | Ciliary body destruction, cyclophotocoagulation, endoscopic (standaloe) |
| 66987 | Complex Cataract Extraction with concomitant ECP |
| 66988 | Cataract Extraction with concomitant ECP |
| 66720 | Ciliary body destruction, transscleral cryotherapy |
| 68320 | Conjunctivoplasty with extensive rearrangement |
| 65820 | Goniotomy |
| 65850 | Trabeculotomy |
| 65875 | Goniosynechialysis |
| 65930 | Removal of blood clot from anterior segment |
| 66680 | Repair of ciliary body or iris |
| 67015 | Drainage of choroidal fluid |
| 66984 | Cataract extraction with intraocular lens (IOL) |
| 66982 | Cataract extraction with IOL placement (complex) |
| 66985 | Insertion of IOL without cataract removal |
| 0449T | Insertion of aqueous drainage device, without extraocular reservoir, internal approach, into the subconjunctival space; initial device (ex XEN Gel Stent) |
| 0450T | Each additional device insertion (List separately in addition to code for primary procedure) (Use 0450T in conjunction with 0449T) |
| CPT | Laser and Minor Procedure Name |
|---|---|
| 66821 | Laser capsulotomy |
| 66820 | Laser hyaloidotomy |
| 66762 | Laser iridoplasty |
| 66761 | Laser iridotomy |
| 66855 | Laser trabeculoplasty (argon laser trabeculoplasty [ALT] or selective laser trabeculoplasty [SLT]) |
| 65800 | Paracentesis (aqueous) |
| 65815 | Paracentesis (blood) |
| 66020 | Reformation anterior chamber |
| 68200 | Subconjunctival injection |
| 67515 | Sub-Tenon’s injection |
| 66030 | Injection viscoelastic |
| CPT | Common Diagnostic Codes |
|---|---|
| H40.11X and the appropriate stage coding | Primary Open Angle Glaucoma |
| H40.219 | Acute angle-closure glaucoma, unspecified eye |
| H40. 059 | Ocular hypertension |
| H47.239 | Glaucomatous optic atrophy, unspecified eye |
| H40. 1390 | Pigmentary glaucoma |
| H40. 1420 | Capsular glaucoma with pseudoexfoliation of lens |
