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CPT 67107: Scleral Buckle Repair for Retinal Detachment
CPT code 67107 represents a scleral buckle procedure to repair retinal detachment, a vision‑threatening condition that requires timely surgical management. Nationally, this code is used to report procedures where a flexible band or implant is secured to the sclera, often combined with cryotherapy or laser photocoagulation and possible drainage of subretinal fluid. The code matters because scleral buckling remains a core surgical option alongside vitrectomy for retinal detachment, and accurate coding affects clinical registries, quality measurement, and payer reimbursement processes.
Key payers addressed in this overview include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise clinical context for the procedure, the typical site of service, and what to expect from payer coverage patterns. The publication also covers where to look for benchmarks and policy updates related to operative reporting, coding nuances, and documentation considerations tied to this surgical service. This executive summary equips clinicians, coding professionals, and policy analysts with a clear framing of CPT code 67107, its clinical purpose, and the payer landscape relevant to national practice.
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Billing Code Overview
CPT code 67107 describes a surgical procedure to repair a detached retina by creating a scleral buckle. The provider places a flexible band or implant on the sclera in the area of retinal detachment, using techniques such as lamellar scleral dissection, imbrication, or encircling sutures. The procedure may include placement of a synthetic band (implant), application of cryotherapy (extreme cold) or photocoagulation (laser) to seal retinal tears, and drainage of subretinal fluid when indicated.
Service type: Surgical retinal detachment repair (scleral buckle procedure)
Typical site of service: Operating room / ambulatory surgery center
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