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 coded as 66720 for ciliary body destruction, and the modifier LT indicates the procedure was performed on the left eye. Moderate sedation codes 99152 (initial 15 minutes) and 99153 (each additional 15 minutes, in this case, used twice for the 45-minute procedure) are appropriate. The ICD-10-CM code H40.1123 specifies primary open angle glaucoma, severe stage, of the left eye, which matches the patient's condition.

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