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Vitrectomy, mechanical, pars plana approach, with subretinal injection of pharmacologic/biologic agent

HCPCS code

Medical Policies and Guidelines for Vitrectomy, mechanical, pars plana approach, with subretinal injection of pharmacologic/biologic agent

Related policies from health plans

New Technology Assessment and Non-Covered Services

Similar Codes


ICD10CM codes

H43.823 - Vitreomacular adhesion, bilateral
H26.213 - Cataract with neovascularization, bilateral
Z45.31 - Encounter for adjustment and management of implanted visual substitution device
H34.8131 - Central retinal vein occlusion, bilateral, with retinal neovascularization
H43.821 - Vitreomacular adhesion, right eye
H40.1432 - Capsular glaucoma with pseudoexfoliation of lens, bilateral, moderate stage
H40.143 - Capsular glaucoma with pseudoexfoliation of lens, bilateral
H40.1433 - Capsular glaucoma with pseudoexfoliation of lens, bilateral, severe stage
H34.8331 - Tributary (branch) retinal vein occlusion, bilateral, with retinal neovascularization
H26.219 - Cataract with neovascularization, unspecified eye

HCPCS codes

C9770 - Vitrectomy, mechanical, pars plana approach, with subretinal injection of pharmacologic/biologic age
C1784 - Ocular device, intraoperative, detached retina
S0596 - Phakic intraocular lens for correction of refractive error
J3396 - Injection, verteporfin, 0.1 mg
V2630 - Anterior chamber intraocular lens
J7351 - Injection, bimatoprost, intracameral implant, 1 microgram
V2632 - Posterior chamber intraocular lens
J7311 - Injection, fluocinolone acetonide, intravitreal implant (retisert), 0.01 mg
V2629 - Prosthetic eye, other type
C1780 - Lens, intraocular (new technology)

CPT4 codes

67036 - Vitrectomy, mechanical, pars plana approach
67040 - Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation
67039 - Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation
67041 - Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macul
67043 - Vitrectomy, mechanical, pars plana approach; with removal of subretinal membrane (eg, choroidal neov
67025 - Injection of vitreous substitute, pars plana or limbal approach (fluid-gas exchange), with or withou
67015 - Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior scl
67028 - Intravitreal injection of a pharmacologic agent (separate procedure)
67042 - Vitrectomy, mechanical, pars plana approach; with removal of internal limiting membrane of retina (e
66852 - Removal of lens material; pars plana approach, with or without vitrectomy