An 81-year-old female has primary open angle glaucoma, severe stage of the left eye. The patient was sent to the OR for a sequential cyclocryotherapy. After moderate sedation was administered by the physician, a wire lid speculum was used to separate the lids of the left eye. The cyroprobe with liquid nitrogen and nitrous oxide was applied. A freeze-thaw-freeze triple row of cryotheraphy was done. The entire procedure took 45 minutes, and the patient tolerated the procedure well and was sent home. Select the appropriate CPT and ICD-10-CM codes.

Question

Quizplus · Accepted Answer

Cyclocryotherapy is represented by CPT code 66710, but the scenario describes a procedure for primary open angle glaucoma, severe stage, which is coded as H40.1123 in ICD-10-CM. The use of moderate sedation for a patient older than 5 years is reported with codes 99152 for the initial 15 minutes and 99153 for each additional 15 minutes. Given the procedure's duration, moderate sedation codes are applicable, making option C the correct choice.

An 81-Year-Old Female Has Primary Open Angle Glaucoma, Severe Stage