CPT^® 67041, Under Vitreous Procedures on the Posterior Segment of the Eye

The Current Procedural Terminology (CPT^®) code 67041 as maintained by American Medical Association, is a medical procedural code under the range - Vitreous Procedures on the Posterior Segment of the Eye.

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Summary

In this procedure, the provider removes scar tissue from the retinal membrane that obscures vision. He removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool, to gain access to the scar tissue.

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Have a question about CPT Code 67041 ? Start a discussion here

HELP complex retinal detachment

Pars plana vitrectomy with membrane lysis, endolaser, perfluorocarbon, silicone oil and pars plana lensectomy, left eye. I HAVE 67040, 67041, 66850, 66020, 67113 ANESTHESIA: General endotracheal.... [ Read More ]

NCD 80.11 vitrectomy coding confusion

[b]vitrectomy dx coding[/b] I have also having trouble with denials. Please share any info to help with the NCD for 67041. Please senad to [email]kennanelson@medicus1.com[/email]... [ Read More ]

NCD 80.11 vitrectomy coding confusion

[b]Please share[/b] [QUOTE="dvarn567, post: 427458, member: 332610"]Previous to my other reply, we just had two 67041 denied for the same reason. After checking with CMS and other ophthalmology offic... [ Read More ]

NCD 80.11 vitrectomy coding confusion

[b]Tammy Rueter cpc[/b] [QUOTE="dvarn567, post: 427458, member: 332610"]Previous to my other reply, we just had two 67041 denied for the same reason. After checking with CMS and other ophthalmology o... [ Read More ]

NCD 80.11 vitrectomy coding confusion

[b]Please share the info!!![/b] [QUOTE="dvarn567, post: 427458, member: 332610"]Previous to my other reply, we just had two 67041 denied for the same reason. After checking with CMS and other ophthal... [ Read More ]

NCD 80.11 vitrectomy coding confusion

[b]Vitrectomy[/b] Previous to my other reply, we just had two 67041 denied for the same reason. After checking with CMS and other ophthalmology offices..it is a CMS issue. CMS sent out NCD last year ... [ Read More ]

NCD 80.11 vitrectomy coding confusion

[b]Vitrectomy[/b] Is it one specific payer? I work for an ASC that does ophthalmology procedures only. I have not had any issues getting either of those codes paid. I have billed 67041 with H35.371 a... [ Read More ]

NCD 80.11 vitrectomy coding confusion

[b]Vitrectomy Denial[/b] I have the same issue with the 67041.... [ Read More ]

NCD 80.11 vitrectomy coding confusion

I am hoping someone is able to clarify the NCD 80.11 for vitrectomy coding for me. I have a claim for a vitrectomy pars plana approach with an ILM peel 67041 with dx code of H35.371 pucker of the m... [ Read More ]

Vitrectomy/membrane peel

Use 67042 because it describes the deeper cut, you have to go through the preretinal cellular membrane in order to reach the internal lining and, 67041 and 67042 are bundled.... [ Read More ]

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