SBS Code
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⌀ | Definition
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⌀ | Includes
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⌀ | Excludes
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⌀ | Guidelines
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⌀ |
|---|---|---|---|---|---|---|---|---|---|---|---|
427340102
|
42734-01-02
|
Capsulotomy lens bil
|
Capsulotomy of lens, bilateral
| 3
|
Procedures on eye and adnexa
| 203
|
Other procedures on lens
| null |
That by Laser
| null | null |
427370101
|
42737-01-01
|
Needling post capsule lens uni
|
Needling of posterior capsule of lens, unilateral
| 3
|
Procedures on eye and adnexa
| 203
|
Other procedures on lens
|
The removal of congenital and other early cataracts
| null | null | null |
427370102
|
42737-01-02
|
Needling post capsule lens bil
|
Needling of posterior capsule of lens, bilateral
| 3
|
Procedures on eye and adnexa
| 203
|
Other procedures on lens
|
The removal of congenital and other early cataracts
| null | null | null |
900770001
|
90077-00-01
|
Other proc on lens uni
|
Other procedure on lens, unilateral
| 3
|
Procedures on eye and adnexa
| 203
|
Other procedures on lens
|
Specified procedure on lens, one side
| null | null | null |
900770002
|
90077-00-02
|
Other proc on lens bil
|
Other procedures on lens, bilateral
| 3
|
Procedures on eye and adnexa
| 203
|
Other procedures on lens
|
Specified procedure on lens, two sides
| null | null | null |
900770011
|
90077-00-11
|
Complex cataract surgery uni
|
Complex cataract surgery, unilateral
| 3
|
Procedures on eye and adnexa
| 203
|
Other procedures on lens
|
Procedure used to treat cataracts in people who have other eye factors alongside their cataracts
| null | null | null |
900770012
|
90077-00-12
|
Complex cataract surgery bil
|
Complex cataract surgery, bilateral
| 3
|
Procedures on eye and adnexa
| 203
|
Other procedures on lens
|
Procedure used to treat cataracts in people who have other eye factors alongside their cataracts
| null | null | null |
900770021
|
90077-00-21
|
Rmvl cataract suture uni
|
Removal of cataract suture, unilateral
| 3
|
Procedures on eye and adnexa
| 203
|
Other procedures on lens
|
A procedure to remove the suture from the eye
| null | null | null |
900770022
|
90077-00-22
|
Rmvl cataract suture bil
|
Removal of cataract suture, bilateral
| 3
|
Procedures on eye and adnexa
| 203
|
Other procedures on lens
|
A procedure to remove the suture from the eye
| null | null | null |
427400001
|
42740-00-01
|
Asp aqueous uni
|
Aspiration of aqueous, unilateral
| 3
|
Procedures on eye and adnexa
| 204
|
Aspiration of aqueous or vitreous
| null |
Includes Injection of therapeutic Substances
| null | null |
427400002
|
42740-00-02
|
Asp aqueous bil
|
Aspiration of aqueous, bilateral
| 3
|
Procedures on eye and adnexa
| 204
|
Aspiration of aqueous or vitreous
| null |
Includes Injection of therapeutic Substances
| null | null |
427400101
|
42740-01-01
|
Asp vitreous uni
|
Aspiration of vitreous, unilateral
| 3
|
Procedures on eye and adnexa
| 204
|
Aspiration of aqueous or vitreous
| null |
Includes Injection of therapeutic Substances
| null | null |
427400102
|
42740-01-02
|
Asp vitreous bil
|
Aspiration of vitreous, bilateral
| 3
|
Procedures on eye and adnexa
| 204
|
Aspiration of aqueous or vitreous
| null |
Includes Injection of therapeutic Substances
| null | null |
428150001
|
42815-00-01
|
Rmvl vitreous substitutes uni
|
Removal of vitreous substitutes, unilateral
| 3
|
Procedures on eye and adnexa
| 205
|
Other application, insertion or removal procedures on aqueous or vitreous
| null |
Removal of Silicone Oil
| null | null |
428150002
|
42815-00-02
|
Rmvl vitreous substitutes bil
|
Removal of vitreous substitutes, bilateral
| 3
|
Procedures on eye and adnexa
| 205
|
Other application, insertion or removal procedures on aqueous or vitreous
| null |
Removal of Silicone Oil
| null | null |
427910301
|
42791-03-01
|
Destruct proc on aqueous/vitreous uni
|
Destruction procedures on aqueous or vitreous, unilateral
| 3
|
Procedures on eye and adnexa
| 206
|
Destruction procedures on aqueous or vitreous
| null |
That by Laser
Fibrinolysis of Aqueous or Vitreous
| null |
Fibrinolysis of aqueous or vitreous
Vitreolysis of aqueous or vitreous
|
427910302
|
42791-03-02
|
Destruct proc on aqueous/vitreous bil
|
Destruction procedures on aqueous or vitreous, bilateral
| 3
|
Procedures on eye and adnexa
| 206
|
Destruction procedures on aqueous or vitreous
| null |
That by Laser
Fibrinolysis of Aqueous or Vitreous
| null |
Fibrinolysis of aqueous or vitreous
Vitreolysis of aqueous or vitreous
|
427190101
|
42719-01-01
|
Rmvl vitreous limbal approach uni
|
Removal of vitreous, limbal approach, unilateral
| 3
|
Procedures on eye and adnexa
| 207
|
Vitrectomy
| null |
Anterior (Limbal) Vitrectomy
Vitrectomy Nos
|
That With:
• Capsulectomy (42731-01-01 [200])
• Extraction of Crystalline Lens (42731-01-01 [200])
| null |
427190102
|
42719-01-02
|
Rmvl vitreous limbal approach bil
|
Removal of vitreous, limbal approach, bilateral
| 3
|
Procedures on eye and adnexa
| 207
|
Vitrectomy
| null |
Anterior (Limbal) Vitrectomy
Vitrectomy Nos
|
That With:
• Capsulectomy (42731-01-01 [200])
• Extraction of Crystalline Lens (42731-01-01 [200])
| null |
427250001
|
42725-00-01
|
Rmvl vitreous pars plana approach uni
|
Removal of vitreous, pars plana approach, unilateral
| 3
|
Procedures on eye and adnexa
| 207
|
Vitrectomy
| null |
Division of Vitreal Bands
Fluid and Gas Exchange
Removal of Epiretinal Membranes
Replacement with Vitreous Substitutes (Silicone Oil)
|
That With:
• Capsulectomy (42731-01-01 [200])
• Extraction of Crystalline Lens (42731-01-01 [200])
| null |
427250002
|
42725-00-02
|
Rmvl vitreous pars plana approach bil
|
Removal of vitreous, pars plana approach, bilateral
| 3
|
Procedures on eye and adnexa
| 207
|
Vitrectomy
| null |
Division of Vitreal Bands
Fluid and Gas Exchange
Removal of Epiretinal Membranes
Replacement with Vitreous Substitutes (Silicone Oil)
|
That With:
• Capsulectomy (42731-01-01 [200])
• Extraction of Crystalline Lens (42731-01-01 [200])
| null |
900780001
|
90078-00-01
|
Other proc on vitreous uni
|
Other procedures on vitreous, unilateral
| 3
|
Procedures on eye and adnexa
| 208
|
Other procedures on vitreous
|
Specified procedures on vitreous, one side
| null | null | null |
900780002
|
90078-00-02
|
Other proc on vitreous bil
|
Other procedures on vitreous, bilateral
| 3
|
Procedures on eye and adnexa
| 208
|
Other procedures on vitreous
|
Specified procedures on vitreous, two sides
| null | null | null |
427400301
|
42740-03-01
|
Admin therapeutic agent in post chamber uni
|
Administration of therapeutic agent into posterior chamber, unilateral
| 3
|
Procedures on eye and adnexa
| 209
|
Application, insertion or removal procedures on retina, choroid or posterior chamber
| null |
That by Paracentesis
| null | null |
427400302
|
42740-03-02
|
Admin therapeutic agentin post chamber bil
|
Administration of therapeutic agent into posterior chamber, bilateral
| 3
|
Procedures on eye and adnexa
| 209
|
Application, insertion or removal procedures on retina, choroid or posterior chamber
| null |
That by Paracentesis
| null | null |
428120001
|
42812-00-01
|
Rmvl surg implant material post segment eye uni
|
Removal of surgically implanted material from posterior segment of eye, unilateral
| 3
|
Procedures on eye and adnexa
| 209
|
Application, insertion or removal procedures on retina, choroid or posterior chamber
| null |
Removal of:
• Encircling Silicone:
• Band
• Tube
• Implant:
• Posterior Ocular Segment
• Retinal
• Scleral (Buckle)
|
Removal of foreign Body From Posterior Segment by Incision (42569-00-01 [210])
| null |
428120002
|
42812-00-02
|
Rmvl surg implant material post segment eye bil
|
Removal of surgically implanted material from posterior segment of eye, bilateral
| 3
|
Procedures on eye and adnexa
| 209
|
Application, insertion or removal procedures on retina, choroid or posterior chamber
| null |
Removal of:
• Encircling Silicone:
• Band
• Tube
• Implant:
• Posterior Ocular Segment
• Retinal
• Scleral (Buckle)
|
Removal of foreign Body From Posterior Segment by Incision (42569-00-01 [210])
| null |
425690001
|
42569-00-01
|
Rmvl intraocular fb post segment uni
|
Removal of intraocular foreign body from posterior segment, unilateral
| 3
|
Procedures on eye and adnexa
| 210
|
Incision procedures on retina, choroid or posterior chamber
| null |
That by Incision
| null | null |
425690002
|
42569-00-02
|
Rmvl intraocular fb post segment bil
|
Removal of intraocular foreign body from posterior segment, bilateral
| 3
|
Procedures on eye and adnexa
| 210
|
Incision procedures on retina, choroid or posterior chamber
| null |
That by Incision
| null | null |
428090001
|
42809-00-01
|
Destruct proc retina choroid post chamber uni
|
Destruction procedures on retina, choroid or posterior chamber, unilateral
| 3
|
Procedures on eye and adnexa
| 211
|
Destruction procedures on retina, choroid or posterior chamber
| null |
That by:
• Cryotherapy
• Diathermy
• Laser
|
That for Repair of Retinal Detachment (42773-01-01, 42776-00-01 [212])
| null |
428090002
|
42809-00-02
|
Destruct proc retina choroid post chamber bil
|
Destruction procedures on retina, choroid or posterior chamber, bilateral
| 3
|
Procedures on eye and adnexa
| 211
|
Destruction procedures on retina, choroid or posterior chamber
| null |
That by:
• Cryotherapy
• Diathermy
• Laser
|
That for Repair of Retinal Detachment (42773-01-01, 42776-00-01 [212])
| null |
427730101
|
42773-01-01
|
Pneumatic retinopexy uni
|
Pneumatic retinopexy, unilateral
| 3
|
Procedures on eye and adnexa
| 212
|
Repair of retinal detachment
| null |
Insertion of Silicone Oil
Replacement of Vitreous
Air Tamponade
Cryotherapy
Fluid/Gas Exchange
Laser therapy
|
Revision of Previous Retinal Detachment Procedure (42779-00-01 [213])
That With:
• Scleral Buckling (42776-00-01 [212])
• Vitrectomy (42725-00-01 [207])
| null |
427730102
|
42773-01-02
|
Pneumatic retinopexy bil
|
Pneumatic retinopexy, bilateral
| 3
|
Procedures on eye and adnexa
| 212
|
Repair of retinal detachment
| null |
Insertion of Silicone Oil
Replacement of Vitreous
Air Tamponade
Cryotherapy
Fluid/Gas Exchange
Laser therapy
|
Revision of Previous Retinal Detachment Procedure (42779-00-01 [213])
That With:
• Scleral Buckling (42776-00-01 [212])
• Vitrectomy (42725-00-01 [207])
| null |
427760001
|
42776-00-01
|
Scleral buckling uni
|
Scleral buckling, unilateral
| 3
|
Procedures on eye and adnexa
| 212
|
Repair of retinal detachment
| null |
Insertion of Silicone Oil
Replacement of Vitreous
Revision of Scleral Buckling (42779-00-01 [213])
|
Revision of Previous Retinal Detachment Procedure (42779-00-01 [213])
That With:
• Scleral Buckling (42776-00-01 [212])
• Vitrectomy (42725-00-01 [207])
| null |
427760002
|
42776-00-02
|
Scleral buckling bil
|
Scleral buckling, bilateral
| 3
|
Procedures on eye and adnexa
| 212
|
Repair of retinal detachment
| null |
Insertion of Silicone Oil
Replacement of Vitreous
Revision of Scleral Buckling (42779-00-01 [213])
|
Revision of Previous Retinal Detachment Procedure (42779-00-01 [213])
That With:
• Scleral Buckling (42776-00-01 [212])
• Vitrectomy (42725-00-01 [207])
| null |
428090101
|
42809-01-01
|
Rep retinal detach by photocoagulation uni
|
Repair of retinal detachment by photocoagulation, unilateral
| 3
|
Procedures on eye and adnexa
| 212
|
Repair of retinal detachment
| null |
Insertion of Silicone Oil
Replacement of Vitreous
|
Revision of Previous Retinal Detachment Procedure (42779-00-01 [213])
That With:
• Scleral Buckling (42776-00-01 [212])
• Vitrectomy (42725-00-01 [207])
| null |
428090102
|
42809-01-02
|
Rep retinal detach by photocoagulation bil
|
Repair of retinal detachment by photocoagulation, bilateral
| 3
|
Procedures on eye and adnexa
| 212
|
Repair of retinal detachment
| null |
Insertion of Silicone Oil
Replacement of Vitreous
|
Revision of Previous Retinal Detachment Procedure (42779-00-01 [213])
That With:
• Scleral Buckling (42776-00-01 [212])
• Vitrectomy (42725-00-01 [207])
| null |
900790001
|
90079-00-01
|
Other repr retinal detachment uni
|
Other repair of retinal detachment, unilateral
| 3
|
Procedures on eye and adnexa
| 212
|
Repair of retinal detachment
| null |
Insertion of Silicone Oil
Replacement of Vitreous
|
Revision of Previous Retinal Detachment Procedure (42779-00-01 [213])
That With:
• Scleral Buckling (42776-00-01 [212])
• Vitrectomy (42725-00-01 [207])
| null |
900790002
|
90079-00-02
|
Other repr retinal detachment bil
|
Other repair of retinal detachment, bilateral
| 3
|
Procedures on eye and adnexa
| 212
|
Repair of retinal detachment
| null |
Insertion of Silicone Oil
Replacement of Vitreous
|
Revision of Previous Retinal Detachment Procedure (42779-00-01 [213])
That With:
• Scleral Buckling (42776-00-01 [212])
• Vitrectomy (42725-00-01 [207])
| null |
427790001
|
42779-00-01
|
Rev retinal detachment proc uni
|
Revision of retinal detachment procedure, unilateral
| 3
|
Procedures on eye and adnexa
| 213
|
Revision procedures on retina, choroid or posterior chamber
| null |
Revision of Scleral Buckling
| null | null |
427790002
|
42779-00-02
|
Rev retinal detachment proc bil
|
Revision of retinal detachment procedure, bilateral
| 3
|
Procedures on eye and adnexa
| 213
|
Revision procedures on retina, choroid or posterior chamber
| null |
Revision of Scleral Buckling
| null | null |
900800001
|
90080-00-01
|
Other proc on retina/choroid, uni
|
Other procedures on retina or choroid, unilateral
| 3
|
Procedures on eye and adnexa
| 214
|
Other procedures on retina, choroid or posterior chamber
|
Specified procedures on retina or choroid, one side
| null | null | null |
900800002
|
90080-00-02
|
Other proc on retina/choroid, bil
|
Other procedures on retina or choroid, bilateral
| 3
|
Procedures on eye and adnexa
| 214
|
Other procedures on retina, choroid or posterior chamber
|
Specified procedures on retina or choroid, two sides
| null | null | null |
900800101
|
90080-01-01
|
Other proc on post chamber, uni
|
Other procedures on posterior chamber, unilateral
| 3
|
Procedures on eye and adnexa
| 214
|
Other procedures on retina, choroid or posterior chamber
|
Specified procedures on posterior chamber, one side
| null | null | null |
900800102
|
90080-01-02
|
Other proc on post chamber, bil
|
Other procedures on posterior chamber, bilateral
| 3
|
Procedures on eye and adnexa
| 214
|
Other procedures on retina, choroid or posterior chamber
|
Specified procedures on posterior chamber, two sides
| null | null | null |
900800201
|
90080-02-01
|
Macular translocation, uni
|
Macular translocation, unilateral
| 3
|
Procedures on eye and adnexa
| 214
|
Other procedures on retina, choroid or posterior chamber
| null |
That with:
• Chorioscleral Shortening
• Retinotomy
| null |
Code also when performed:
• vitrectomy (see block [207])
|
900800202
|
90080-02-02
|
Macular translocation, bil
|
Macular translocation, bilateral
| 3
|
Procedures on eye and adnexa
| 214
|
Other procedures on retina, choroid or posterior chamber
| null |
That with:
• Chorioscleral Shortening
• Retinotomy
| null |
Code also when performed:
• vitrectomy (see block [207])
|
962320001
|
96232-00-01
|
Other exc extraocular muscle/tendon uni
|
Other excision of extraocular muscle or tendon, unilateral
| 3
|
Procedures on eye and adnexa
| 215
|
Excision procedures on extraocular muscle
| null |
Biopsy of Extraocular Muscle or Tendon
| null | null |
962320002
|
96232-00-02
|
Other exc extraocular muscle/tendon bil
|
Other excision of extraocular muscle or tendon, bilateral
| 3
|
Procedures on eye and adnexa
| 215
|
Excision procedures on extraocular muscle
| null |
Biopsy of Extraocular Muscle or Tendon
| null | null |
183660101
|
18366-01-01
|
Admin agent extraocular muscle strabismus uni
|
Administration of agent into extraocular muscles for strabismus, unilateral
| 3
|
Procedures on eye and adnexa
| 216
|
Procedures for strabismus
| null |
Botulinum toxin
Electromyography
|
Reoperation Procedures for Strabismus (See Block [219])
| null |
183660102
|
18366-01-02
|
Admin agent extraocular muscle strabismus bil
|
Administration of agent into extraocular muscles for strabismus, bilateral
| 3
|
Procedures on eye and adnexa
| 216
|
Procedures for strabismus
| null |
Botulinum toxin
Electromyography
|
Reoperation Procedures for Strabismus (See Block [219])
| null |
428480001
|
42848-00-01
|
Muscle transplant for strabismus uni
|
Muscle transplant for strabismus, unilateral
| 3
|
Procedures on eye and adnexa
| 216
|
Procedures for strabismus
| null |
Hummelsheim Procedure
Transposition of Extraocular Muscles
|
Reoperation Procedures for Strabismus (See Block [219])
| null |
428480002
|
42848-00-02
|
Muscle transplant for strabismus bil
|
Muscle transplant for strabismus, bilateral
| 3
|
Procedures on eye and adnexa
| 216
|
Procedures for strabismus
| null |
Hummelsheim Procedure
Transposition of Extraocular Muscles
|
Reoperation Procedures for Strabismus (See Block [219])
| null |
428330000
|
42833-00-00
|
Strabismus proc inv 1 or 2 muscles 1 eye
|
Strabismus procedure involving 1 or 2 muscles, 1 eye
| 3
|
Procedures on eye and adnexa
| 216
|
Procedures for strabismus
| null |
Repair of Strabismus by:
• Advancement
• Lengthening
• Recession
• Resection
• Shortening
|
Reoperation Procedures for Strabismus (See Block [219])
| null |
428330100
|
42833-01-00
|
Strabismus proc inv 1 or 2 musc 2 eyes
|
Strabismus procedure involving 1 or 2 muscles, both eyes
| 3
|
Procedures on eye and adnexa
| 216
|
Procedures for strabismus
| null |
Repair of Strabismus by:
• Advancement
• Lengthening
• Recession
• Resection
• Shortening
|
Reoperation Procedures for Strabismus (See Block [219])
| null |
428390000
|
42839-00-00
|
Strabismus proc inv >= 3 muscles 1 eye
|
Strabismus procedure involving 3 or more muscles, 1 eye
| 3
|
Procedures on eye and adnexa
| 216
|
Procedures for strabismus
| null |
Repair of Strabismus by:
• Advancement
• Lengthening
• Recession
• Resection
• Shortening
|
Reoperation Procedures for Strabismus (See Block [219])
| null |
428390100
|
42839-01-00
|
Strabismus proc inv >= 3 muscles 2 eyes
|
Strabismus procedure involving 3 or more muscles, both eyes
| 3
|
Procedures on eye and adnexa
| 216
|
Procedures for strabismus
| null |
Repair of Strabismus by:
• Advancement
• Lengthening
• Recession
• Resection
• Shortening
|
Reoperation Procedures for Strabismus (See Block [219])
| null |
428540001
|
42854-00-01
|
Rep ruptured extraocular muscle uni
|
Repair of ruptured extraocular muscle, unilateral
| 3
|
Procedures on eye and adnexa
| 217
|
Other repair of extraocular muscle
| null |
Freeing of Entrapped Lysis of Adhesions of Extraocular Muscle Block Details : Repair of Laceration of:
• Extraocular Muscle or Tendon
• Tenon's Capsule
| null | null |
428540002
|
42854-00-02
|
Rep ruptured extraocular muscle bil
|
Repair of ruptured extraocular muscle, bilateral
| 3
|
Procedures on eye and adnexa
| 217
|
Other repair of extraocular muscle
| null |
Freeing of Entrapped Lysis of Adhesions of Extraocular Muscle Block Details : Repair of Laceration of:
• Extraocular Muscle or Tendon
• Tenon's Capsule
| null | null |
428450001
|
42845-00-01
|
Adjust sut 1 eye foll prev strabms surg
|
Adjust of sutures, 1 eye following previous surgery for correction of strabismus, unilateral
| 3
|
Procedures on eye and adnexa
| 218
|
Revision procedures on extraocular muscle
|
A method in which the extraocular muscle may be repositioned and thus the surgical dosage
altered postoperatively, with the intent to improve both short- and
long-term outcomes by reducing postoperative under- or overcorrections
| null |
Reoperation (See Block [219])
| null |
428450101
|
42845-01-01
|
Adjust sutures 2 eyes flw prev strabms surg uni
|
Adjust of sutures, both eyes following previous surgery for correction of strabismus, unilateral
| 3
|
Procedures on eye and adnexa
| 218
|
Revision procedures on extraocular muscle
|
A method in which the extraocular muscle may be repositioned and thus the surgical dosage
altered postoperatively, with the intent to improve both short- and
long-term outcomes by reducing postoperative under- or overcorrections
| null |
Reoperation (See Block [219])
| null |
428330201
|
42833-02-01
|
Reop strabms involving eye muscle 2nd proc uni
|
Reoperation of strabismus procedure involving muscles of eye, second procedure, unilateral
| 3
|
Procedures on eye and adnexa
| 219
|
Reoperation procedures on extraocular muscle
|
Eye muscle surgery to treat crossed eyes (strabismus)
| null |
That with Muscle Transplant (42848-01-01 [219])
| null |
428330202
|
42833-02-02
|
Reop strabms involving eye muscle 2nd proc bil
|
Reoperation of strabismus procedure involving muscles of eye, second procedure, bilateral
| 3
|
Procedures on eye and adnexa
| 219
|
Reoperation procedures on extraocular muscle
|
Eye muscle surgery to treat crossed eyes (strabismus)
| null |
That with Muscle Transplant (42848-01-01 [219])
| null |
428360001
|
42836-00-01
|
Reop strabms involving eye muscle 3rd/subsqt uni
|
Reoperation of strabismus procedure involving muscles of eye, third or subsequent procedure, unilateral
| 3
|
Procedures on eye and adnexa
| 219
|
Reoperation procedures on extraocular muscle
|
Eye muscle surgery to treat crossed eyes (strabismus)
| null |
That with Muscle Transplant (42848-01-01 [219])
| null |
428360002
|
42836-00-02
|
Reop strabms involving eye muscle 3rd/subsqt bil
|
Reoperation of strabismus procedure involving muscles of eye, third or subsequent procedure, bilateral
| 3
|
Procedures on eye and adnexa
| 219
|
Reoperation procedures on extraocular muscle
|
Eye muscle surgery to treat crossed eyes (strabismus)
| null |
That with Muscle Transplant (42848-01-01 [219])
| null |
428480101
|
42848-01-01
|
Reop muscle trnsplnt for strabms uni
|
Reoperation of muscle transplant procedure for strabismus, unilateral
| 3
|
Procedures on eye and adnexa
| 219
|
Reoperation procedures on extraocular muscle
|
Eye muscle surgery to treat crossed eyes (strabismus)
| null | null | null |
428480102
|
42848-01-02
|
Reop muscle trnsplnt for strabms bil
|
Reoperation of muscle transplant procedure for strabismus, bilateral
| 3
|
Procedures on eye and adnexa
| 219
|
Reoperation procedures on extraocular muscle
|
Eye muscle surgery to treat crossed eyes (strabismus)
| null | null | null |
900810001
|
90081-00-01
|
Other proc on extraocular muscle/tendon uni
|
Other procedures on extraocular muscle or tendon, unilateral
| 3
|
Procedures on eye and adnexa
| 220
|
Other procedures on extraocular muscle or tendon
|
Specified procedures on extraocular muscle or tendon, one side
| null | null | null |
900810002
|
90081-00-02
|
Other proc on extraocular muscle/tendon bil
|
Other procedures on extraocular muscle or tendon, bilateral
| 3
|
Procedures on eye and adnexa
| 220
|
Other procedures on extraocular muscle or tendon
|
Specified procedures on extraocular muscle or tendon, two sides
| null | null | null |
428240001
|
42824-00-01
|
Retrobulbar admin alcohol/other drug uni
|
Retrobulbar administration of alcohol or other drug, unilateral
| 3
|
Procedures on eye and adnexa
| 221
|
Application, insertion or removal procedures on orbit
|
Type of regional anesthetic nerve block in the retrobulbar space, located behind the globe of the eye
| null | null | null |
428240002
|
42824-00-02
|
Retrobulbar admin alcohol/other drug bil
|
Retrobulbar administration of alcohol or other drug, bilateral
| 3
|
Procedures on eye and adnexa
| 221
|
Application, insertion or removal procedures on orbit
|
Type of regional anesthetic nerve block in the retrobulbar space, located behind the globe of the eye
| null | null | null |
906060201
|
90606-02-01
|
Rmvl orbital implant uni
|
Removal of orbital implant, unilateral
| 3
|
Procedures on eye and adnexa
| 221
|
Application, insertion or removal procedures on orbit
| null |
Alloplastic Implant (Patch)
Silastic Synthetic (Artificial)
|
That From Anophthalmic orbit (42518-04-01 [164])
| null |
906060202
|
90606-02-02
|
Rmvl orbital implant bil
|
Removal of orbital implant, bilateral
| 3
|
Procedures on eye and adnexa
| 221
|
Application, insertion or removal procedures on orbit
| null |
Alloplastic Implant (Patch)
Silastic Synthetic (Artificial)
|
That From Anophthalmic orbit (42518-04-01 [164])
| null |
425330001
|
42533-00-01
|
Explor orbitotomy uni
|
Exploratory orbitotomy, unilateral
| 3
|
Procedures on eye and adnexa
| 222
|
orbitotomy
| null |
Drainage
|
That With:
• Biopsy (42533-01-01 [224])
• Excision of Lesion (42542-00-01 [224])
• Removal of foreign Body (42542-01-01 [224])
| null |
425330002
|
42533-00-02
|
Explor orbitotomy bil
|
Exploratory orbitotomy, bilateral
| 3
|
Procedures on eye and adnexa
| 222
|
orbitotomy
| null |
Drainage
|
That With:
• Biopsy (42533-01-01 [224])
• Excision of Lesion (42542-00-01 [224])
• Removal of foreign Body (42542-01-01 [224])
| null |
425720001
|
42572-00-01
|
Drainage orbital absc uni
|
Drainage of orbital abscess, unilateral
| 3
|
Procedures on eye and adnexa
| 223
|
Other incision procedures on orbit
|
Drainage of collections of pus within the orbital soft tissue
| null |
That by orbitotomy (42533-00-01 [222])
| null |
425720002
|
42572-00-02
|
Drainage orbital absc bil
|
Drainage of orbital abscess, bilateral
| 3
|
Procedures on eye and adnexa
| 223
|
Other incision procedures on orbit
|
Drainage of collections of pus within the orbital soft tissue
| null |
That by orbitotomy (42533-00-01 [222])
| null |
425720101
|
42572-01-01
|
Drainage orbital cyst uni
|
Drainage of orbital cyst, unilateral
| 3
|
Procedures on eye and adnexa
| 223
|
Other incision procedures on orbit
|
Incision in the eyebrow, upper eyelid crease or directly over the lesion is often used. for deep lesions, anterior, lateral, or combined orbitotomy is indicated
| null |
That by orbitotomy (42533-00-01 [222])
| null |
425720102
|
42572-01-02
|
Drainage orbital cyst bil
|
Drainage of orbital cyst, bilateral
| 3
|
Procedures on eye and adnexa
| 223
|
Other incision procedures on orbit
|
Incision in the eyebrow, upper eyelid crease or directly over the lesion is often used. for deep lesions, anterior, lateral, or combined orbitotomy is indicated
| null |
That by orbitotomy (42533-00-01 [222])
| null |
425330101
|
42533-01-01
|
Explor orbitotomy w/ bx uni
|
Exploratory orbitotomy with biopsy, unilateral
| 3
|
Procedures on eye and adnexa
| 224
|
Orbitotomy with biopsy or excision
| null | null |
That with removal and replacement of bone (See Block [227])
| null |
425330102
|
42533-01-02
|
Explor orbitotomy w/ bx bil
|
Exploratory orbitotomy with biopsy, bilateral
| 3
|
Procedures on eye and adnexa
| 224
|
orbitotomy with biopsy or excision
| null | null |
That with Removal and Replacement of Bone (See Block [227])
| null |
425420001
|
42542-00-01
|
Explor orbitomy ant aspect w/ exc lesn uni
|
Exploratory orbitotomy, anterior aspect, with excision of lesion, unilateral
| 3
|
Procedures on eye and adnexa
| 224
|
orbitotomy with biopsy or excision
|
Surgical procedure to access a specific area of the anterior orbit, generally considered to be within the anterior two-thirds of the orbit.
| null |
That with Removal and Replacement of Bone (See Block [227])
| null |
425420002
|
42542-00-02
|
Explor orbitomy ant aspect w/ exc lesn bil
|
Exploratory orbitotomy, anterior aspect, with excision of lesion, bilateral
| 3
|
Procedures on eye and adnexa
| 224
|
orbitotomy with biopsy or excision
|
Surgical procedure to access a specific area of the anterior orbit, generally considered to be within the anterior two-thirds of the orbit.
| null |
That with Removal and Replacement of Bone (See Block [227])
| null |
425420101
|
42542-01-01
|
Explor orbitomy ant aspect w/ rmvl fb uni
|
Exploratory orbitotomy, anterior aspect, with removal of foreign body, unilateral
| 3
|
Procedures on eye and adnexa
| 224
|
orbitotomy with biopsy or excision
| null |
Removal of orbital foreign Body, Anterior Aspect, by Incision
|
That with Removal and Replacement of Bone (See Block [227])
| null |
425420102
|
42542-01-02
|
Explor orbitomy ant aspect w/ rmvl fb bil
|
Exploratory orbitotomy, anterior aspect, with removal of foreign body, bilateral
| 3
|
Procedures on eye and adnexa
| 224
|
orbitotomy with biopsy or excision
| null |
Removal of orbital foreign Body, Anterior Aspect, by Incision
|
That with Removal and Replacement of Bone (See Block [227])
| null |
425430001
|
42543-00-01
|
Explor orbitomy retrobulbar aspt w/ exc lesn uni
|
Exploratory orbitotomy, retrobulbar aspect, with excision of lesion, unilateral
| 3
|
Procedures on eye and adnexa
| 224
|
orbitotomy with biopsy or excision
| null | null |
That with Removal and Replacement of Bone (See Block [227])
| null |
425430002
|
42543-00-02
|
Explor orbitomy retrobulbar aspt w/ exc lesn bil
|
Exploratory orbitotomy, retrobulbar aspect, with excision of lesion, bilateral
| 3
|
Procedures on eye and adnexa
| 224
|
orbitotomy with biopsy or excision
| null | null |
That with Removal and Replacement of Bone (See Block [227])
| null |
425430101
|
42543-01-01
|
Explor orbitomy retrobulbar aspt w/ rmvl fb uni
|
Exploratory orbitotomy, retrobulbar aspect, with removal of foreign body, unilateral
| 3
|
Procedures on eye and adnexa
| 224
|
orbitotomy with biopsy or excision
| null |
Removal of orbital foreign Body, Retrobulbar Aspect, by Incision
|
That with Removal and Replacement of Bone (See Block [227])
| null |
425430102
|
42543-01-02
|
Explor orbitomy retrobulbar aspt w/ rmvl fb bil
|
Exploratory orbitotomy, retrobulbar aspect, with removal of foreign body, bilateral
| 3
|
Procedures on eye and adnexa
| 224
|
orbitotomy with biopsy or excision
| null |
Removal of orbital foreign Body, Retrobulbar Aspect, by Incision
|
That with Removal and Replacement of Bone (See Block [227])
|
Performed for dysthyroid eye disease
|
425450101
|
42545-01-01
|
Orbitotomy decomp orbit rmvl fat uni
|
Orbitotomy for decompression of orbit by removal of intraorbital (peribulbar) (retrobulbar) fat, unilateral
| 3
|
Procedures on eye and adnexa
| 224
|
orbitotomy with biopsy or excision
|
Performed to relieve exophthalmos, a condition associated with graves' disease, which causes the eyes to bulge and may lead to loss of vision
| null |
That with Removal and Replacement of Bone (See Block [227])
|
Performed for dysthyroid eye disease
|
425450102
|
42545-01-02
|
Orbitotomy decomp orbit rmvl fat bil
|
Orbitotomy for decompression of orbit by removal of intraorbital (peribulbar) (retrobulbar) fat, bilateral
| 3
|
Procedures on eye and adnexa
| 224
|
orbitotomy with biopsy or excision
|
Performed to relieve exophthalmos, a condition associated with graves' disease, which causes the eyes to bulge and may lead to loss of vision
| null |
That with Removal and Replacement of Bone (See Block [227])
| null |
425360001
|
42536-00-01
|
Exentrn orbit uni
|
Exenteration of orbit, unilateral
| 3
|
Procedures on eye and adnexa
| 225
|
Exenteration of orbit
| null |
Evisceration of orbit
| null | null |
425360002
|
42536-00-02
|
Exentrn orbit bil
|
Exenteration of orbit, bilateral
| 3
|
Procedures on eye and adnexa
| 225
|
Exenteration of orbit
| null |
Evisceration of orbit
| null | null |
425360101
|
42536-01-01
|
Exentrn orbit w/ skin graft uni
|
Exenteration of orbit with skin graft, unilateral
| 3
|
Procedures on eye and adnexa
| 225
|
Exenteration of orbit
| null |
Evisceration of orbit
|
That with Temporalis Muscle Transplant (42536-03-01 [225])
| null |
425360102
|
42536-01-02
|
Exentrn orbit w/ skin graft bil
|
Exenteration of orbit with skin graft, bilateral
| 3
|
Procedures on eye and adnexa
| 225
|
Exenteration of orbit
| null |
Evisceration of orbit
|
That with Temporalis Muscle Transplant (42536-03-01 [225])
| null |
425360201
|
42536-02-01
|
Exentrn orbit w/ temporalis muscle transplant uni
|
Exenteration of orbit with temporalis muscle transplant, unilateral
| 3
|
Procedures on eye and adnexa
| 225
|
Exenteration of orbit
| null |
Evisceration of orbit
|
That with Temporalis Muscle Transplant (42536-03-01 [225])
| null |
425360202
|
42536-02-02
|
Exentrn orbit w/ temporalis muscle transplant bil
|
Exenteration of orbit with temporalis muscle transplant, bilateral
| 3
|
Procedures on eye and adnexa
| 225
|
Exenteration of orbit
| null |
Evisceration of orbit
|
That with Temporalis Muscle Transplant (42536-03-01 [225])
| null |
425360301
|
42536-03-01
|
Exentrn orbit w/ skin graft & muscle trnsplnt uni
|
Exenteration of orbit with skin graft and temporalis muscle transplant, unilateral
| 3
|
Procedures on eye and adnexa
| 225
|
Exenteration of orbit
| null |
Evisceration of orbit
| null | null |
425360302
|
42536-03-02
|
Exentrn orbit w/ skin graft & muscle trnsplnt bil
|
Exenteration of orbit with skin graft and temporalis muscle transplant, bilateral
| 3
|
Procedures on eye and adnexa
| 225
|
Exenteration of orbit
| null |
Evisceration of orbit
| null | null |
425360401
|
42536-04-01
|
Exentrn orbit w/ rmvl adjacent structures uni
|
Exenteration of orbit with removal of adjacent structures, unilateral
| 3
|
Procedures on eye and adnexa
| 225
|
Exenteration of orbit
| null |
Evisceration of orbit
| null | null |
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