CPT code 67113 represents complex surgical repair of a detached retina involving vitrectomy, membrane peeling, retinopexy (laser or cryotherapy), possible scleral buckle placement, subretinal fluid drainage, lens removal when necessary, and intraocular tamponade. This procedure is a critical ophthalmic intervention to restore retinal apposition and preserve vision in patients with complicated retinal detachment. Nationally, such interventions carry significant clinical urgency, resource use, and cost implications due to operating-room time, specialty surgeon involvement, and potential need for postoperative care.

Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The publication provides a concise policy and billing context for payers and revenue leaders across the U.S. health system.

Readers will gain: a clear clinical and coding description of CPT code 67113; typical site-of-service and service-line placement; common billing considerations and benchmarks where available; and the clinical context that drives utilization and payer interactions for complex retinal reattachment procedures. Data not available in the input will be noted as such in relevant sections.