====== AAO Surgery Prioritization Strategy: CPT Codes for Typical Ophthalmic Procedures ======
[[https://1drv.ms/b/c/31d83ae8e55e0542/EZw-pXSSwitAi_rCbh8-9UgB_kS0hyZzcFjoQDZz2xN_sQ?e=h7wMeI|AAO Surgery Prioritization Strategy: Codes for Typical Ophthalmic Procedures (PDF)]]
==== Emergent Procedures ====

^ Condition/Service                          ^ CPT Code(s)                                                                                     ^
| Endophthalmitis|65800 Paracentesis of anterior chamber of eye (separate procedure); with removal of aqueous|
|:::|67015 Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior sclerotomy)|
|:::|67028 Intravitreal injection of a pharmacologic agent (separate procedure) |
| Open globe, disruption of operative incision | 65275 |  
|:::|65280|
|:::|65285|
|:::|65286|
|:::|66250|
| Cantholysis/Canthotomy                     | 67715 Canthotomy (separate procedure) |
| Intraocular foreign body                   | 65235, 65260, 65265, 67413 |
| Canalicular lacerations                    | 68700, 67950 |
| Conjunctival laceration                    | 65270, 65272, 65273 |
| Traumatic extraocular muscle tear         | 67311, 67312, 67314, 67316, 67318, +67340 |
| Orbital cellulitis or abscess             | 65110, 65112, 65114, 67400, 67405, 67440 |
| Acute dacryocystitis                      | 68520, 68811, 68815, 68816 |
| Compressive optic neuropathy             | 61330 |
| Orbital decompression with vision loss   | 61330 |
| Anterior chamber tap                      | 65800 |
| Angle-closure glaucoma                    | 66761, 66840, 66940, 66982, 66984, 66987, 66988 |

==== Urgent Procedures ====

^ Condition/Service                          ^ CPT Code(s)                                                                                     ^
| Temporal artery biopsy                     | 37609 |
| RD - macula on                             | 67101, 67105, 67107, 67108, 67110, 67113 |
| Corneal foreign body                       | 65220, 65222 |
| Ocular surface reconstruction              | 65778, 65779, 65780, 65781, 65782 |
| Exam under anesthesia                      | 92019 |
| Nasolacrimal duct probe for infection      | 68810, 68811, 68815, 68816 |
| Aqueous drainage implant revision/removal  | 66184, 66185, 65920 |
| Retrobulbar injection                      | 67500, 67505 |
| Anterior chamber washout for hyphema       | 65815 |
| Neonatal dacryocystocele                   | 68810, 68811, 68815, 68816 |
| Lid lacerations                            | 14060, 14061, 15120, 15260, 67971, 67973, 67974, 67975 |
| Orbital fractures                           | 21385, 21386, 21387, 21390, 21395, 21406, 21407, 21408 |
| Tarsorrhaphy                                | 67880, 67882 |
| Orbit/eyelid/intraocular malignancy        | 67400, 67412, 67414, 67415, 67420, 67440, 67445, 67450, 65101, 65103, 65105, 65110, 65112, 65114, 67810, 67950, 67961, 67966, 67971, 67973, 67974, 11102, +11103, 11104, +11105, 11106, +11107 |
| Enucleation for pain, infection, tumor     | 65101, 65103, 65105 |
| Exenteration for infection                 | 65110, 65112, 65114 |
| Evisceration for pain, tumor               | 65091, 65093 |
| Optic nerve sheath fenestration            | 67570 |
| Flat chamber                               | 66020, 66030, 66250 |
| Infantile glaucoma                         | 65820, 66174, 66170 |
| Phacomorphic glaucoma                      | 66761, 66840, 66940, 66982, 66984, 66987, 66988 |
| Glaucoma, uncontrolled                     | 65820, 65850, 65855, 65865, 66150, 66155, 66161, 66170, 66172, 66174, 66179, 66180, 66186, 66184, 66185, 66500, 66505, 66600, 66605, 66625, 66630, 66635, 66761, 66762, 0191T, 0449T |

==== Semi-Urgent Procedures ====

^ Condition/Service ^ CPT Code(s)^
| Cataract in amblyogenic stage              | 66982 |
| Adult cataract with functional impairment  | 66982, 66984, 66987, 66988 |
| Pediatric cataract with IOL risk for amblyopia | 66982 |
| Intravitreal injection                     | 67028 |
| Pediatric corneal transplant               | 65730, 65750, 65755, 65756 |
| Corneal transplant with pain               | 65710, 65730, 65750, 65755, 65756, +65757 |
| Brachytherapy                              | 67036, 0190T (deleted) |
| Hypotony/cyclodialysis cleft              | 66680, 66682 |
| Drain choroidals                          | 67015 |
| Glaucoma progressing                      | [same codes as uncontrolled above] |
| Infantile ptosis                          | 67901, 67902, 67903, 67904, 67906, 67908 |
| Retinal detachment - macula off           | 67101, 67105, 67107, 67108, 67110, 67113 |
| Proliferative diabetic retinopathy        | 67108, 67113 |
| Proliferative vitreoretinopathy           | 67108, 67113 |
| Macular hole                              | 67042 |
| Ocular surface reconstruction             | 65778, 65779, 65780, 65781, 65782 |
| Enucleation for melanoma                  | 65101, 65103, 65105 |
| Eyelid malignancies                       | 17280, 17281, 17282, 17283, 17284, 17286, 67840, 67961, 67966 |
| Bleb leak                                 | 66250 |
| Retisert placement                        | 67027, J7311 |
| Corneal biopsy                            | 65410 |
| Conjunctival biopsy                       | 68100 |

==== Semi-Elective Procedures ====

^ Condition/Service                          ^ CPT Code(s)                                                                                     ^
| Pediatric cataract, not amblyogenic        | 66982 |
| Adult cataract with mild ADL impact        | 66982, 66984 |
| Childhood strabismus                      | 67311, 67312, 67314, 67316, 67318, 67320, 67331, 67332, 67334, 67335, 67340, 67343, 67345 |
| Corneal transplant, asymptomatic          | 65710, 65730, 65750, 65755, 65756, 65757 |
| Progressive pterygium                     | 65420, 65426 |
| Glaucoma with stable vision               | [same codes as above] |
| Epiphora                                  | 68810, 68811, 68815, 68816 |
| Symptomatic entropion                     | 67921, 67922, 67923, 67924 |
| Epiretinal membrane                       | 67041, 67042 |
| Adult strabismus with diplopia            | [same codes as childhood strabismus] |

==== Elective Procedures ====

^ Condition/Service                          ^ CPT Code(s)                                                                                     ^
| Adult strabismus without diplopia         | [same as above] |
| Adult ptosis                              | 67901, 67902, 67903, 67904, 67906, 67908 |
| Blepharoplasty                            | 15822, 15823 |
| Ectropion                                 | 67914, 67915, 67916, 67917 |

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