Which CPT codes were used for a pars plana vitrectomy with cryoretinopexy?

Which CPT codes were used for a pars plana vitrectomy with cryoretinopexy?

• A. 67035, 67100
• B. 67037, 67102
• C. 67036, 67101
• D. 67040, 67100

Answer: (C)

The main idea is that two distinct procedures done in one eye during the same session are coded separately to reflect the full scope of surgery. A pars plana vitrectomy is coded separately from the retinal detachment repair that includes cryoretinopexy. Code the vitrectomy as the pars plana vitrectomy procedure. Then code the retinal detachment repair that includes cryopexy, because the cryoretinopexy is part of the detachment repair and is captured by the retinal detachment repair code. Using these two codes together best represents both major steps performed: removing the vitreous gel and treating the retinal break with cryopexy. Other pairings would not accurately reflect the cryopexy component or would imply a different retinal repair construct, so they don’t fit as well.

The main idea is that two distinct procedures done in one eye during the same session are coded separately to reflect the full scope of surgery. A pars plana vitrectomy is coded separately from the retinal detachment repair that includes cryoretinopexy.

Code the vitrectomy as the pars plana vitrectomy procedure. Then code the retinal detachment repair that includes cryopexy, because the cryoretinopexy is part of the detachment repair and is captured by the retinal detachment repair code. Using these two codes together best represents both major steps performed: removing the vitreous gel and treating the retinal break with cryopexy.

Other pairings would not accurately reflect the cryopexy component or would imply a different retinal repair construct, so they don’t fit as well.