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CPT 67141: Retinal Prophylactic Cryopexy or Laser Retinopexy
CPT code 67141 denotes a retinal prophylactic ablative procedure performed to prevent retinal detachment by sealing small retinal tears or areas of lattice degeneration using extreme cold or heat. This procedure is a targeted ophthalmic intervention that preserves vision by reinforcing weakened retinal tissue and reducing the likelihood of full-thickness detachment. Its relevance is national: ophthalmologists and ambulatory surgical centers routinely bill for this service when clinical findings indicate heightened detachment risk.
Key payers addressed in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context, typical sites of service, and common billing practices associated with 67141. The publication also outlines benchmark considerations, payer coverage trends, and recent policy developments that affect reimbursement and prior authorization practices for retinal prophylactic procedures.
Clinicians, coding specialists, and revenue cycle professionals will gain actionable clarity on when this code applies, how it fits within ophthalmology service lines, and what policy or coverage factors commonly influence payment. Data not available in the input is noted where applicable.
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Billing Code Overview
CPT code 67141 describes a procedure that prevents retinal detachment by creating scar tissue around areas of small retinal tears or thinning (lattice degeneration) using extreme cold (cryopexy) or heat (laser photocoagulation). The goal of the procedure is to strengthen the retina at sites of weakness and reduce the risk of future detachment.
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Service type: Retinal prophylactic ablative procedure (cryopexy or laser retinopexy)
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Typical site of service: Outpatient ophthalmology clinic or ambulatory surgical center; may also be performed in a hospital outpatient department when clinically indicated.