Consider Your Options. E. Study with Quizlet and memorize flashcards containing terms like CASE 1 ANESTHESIA: Laryngeal mask anesthesia. Code. ICD-10 Diagnosis Codes:. The eye was reexamined. • Posterior segment intraocular (mag-netic) foreign body removal—CPT Chorioretinal scars after surgery for detachment, right eye. Scleral buckling surgery allows a surgeon to reattach a person’s detached retina. Is it correct to bill 67115? A. Any clips used with scleral buckles are usually tantalum, which is not ferromagnetic. This is the American ICD-10-CM version of D57. Diseases of the eye and adnexa. ICD-9. H33. The 2024 edition of ICD-10-CM H33. scleral buckling, and pars plana vitrectomy (PPV) with a variety of endotamponades. Prior to initiating scleral depression, the patient should be fully dilated. Scleral buckle infection is relatively rare and has a delayed clinical presentation. Other scleritis, left eye. Best to use Z98. 67112 Repair of retinal detachment; by scleral buckling or vitrectomy, on patient having previous ipsilateral retinal detachment repair (s) using scleral buckling or vitrectomy techniques. ICD-9-CM 379. 9 The risk is associated with the circumferential extent of the recession, being most. survophthal. This is the American ICD-10-CM version of H33. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM. PMID: 3808601. Code Also A code also note instructs that 2 codes may be required to fully describe a condition but the sequencing of the two codes is discretionary, depending on the severity of the conditions and the reason for the encounter. Scleral buckling is a procedure that reattaches the retina by placing a 'buckle' around the outside of the eye. 053 Disease. They may include anatomic, embryologic, degenerative, or pigmentation defects. Answer: You are correct. 89 became effective on October 1, 2023. 7%. We report such a case with a delayed presentation and a rare etiology. The code is exempt from present on admission (POA) reporting for. The literature about buckle infection includes mostly case reports and small case series. The silicone material indents the wall of the eye, therefore, creating a. Coding pneumatic cases begins with identifying the diagnosis. Patients with PVR-associated failure were more likely to be smokers (P < 0. 1:. Expanding MIRAgel scleral buckle simulating an orbital tumor in four cases. 19 should only be used for claims with a date of service on or before September 30, 2015. Sometimes the silicone rubber piece erodes through the conjunctiva and can become infected. 3 became effective on October 1, 2023. a Under direct visualization using a wide-angle viewing system, the extent of the detachment and the localization of the breaks is assessed. Buckles are placed onto the sclera with the purpose of sealing retinal breaks. ICD-10-PCS Procedure Code 08R7XJZ [convert to ICD-9-CM] Replacement of Left Sclera with Synthetic Substitute, External Approach. After it is located, the band is easily. Disorders of sclera, cornea, iris and ciliary body. Scleral buckling remains a popular technique to repair retinal detachments (RDs), either as primary treatment or as an adjunct to pars plana vitrectomy (PPV). 092 - other international versions of ICD-10 H15. Z codes represent reasons for encounters. 49 Other scleral buckling convert 14. 3 may differ. 0041). 89 : Z00-Z99. Introduction Scleral buckling (SB) tends to be more challenging and time-consuming for compared to the pars plana vitrectomy for repairing rhegmatogenous retinal detachments (RRDs). et al. The doctors at the Dean McGee Eye Institute can help! Call 405. INTRODUCTION. This technique might be useful in minimizing retinal displacement in patients with retinal detachment and. CPT ® HCPCS. The primary. Significant RDs are treated either with vitrectomy alone or scleral buckle with or without vitrectomy. Information about the SNOMED CT code 371394007 representing Removal of scleral buckle. This is the American ICD-10-CM version of H33. 6%. Short description: DISORDER OF SCLERA NEC. If the patient has Medicare Part B, this code isn’t bundled with 65285, 67311, 67930, or 67935. subretinal fluid, scleral buckling, and/or removal of lens. To code for the complication, you have two choices: 996. 73-14. The 2024 edition of ICD-10-CM H44. 813 - other international versions of ICD-10 D57. This study characterizes a novel and simplified technique for SB. A scleral buckle is a piece of silicone sponge, rubber, or semi-hard plastic that your eye doctor (ophthalmologist) places on the outside of the eye (the sclera, or the white of the eye). Pars plana vitrectomy combined with scleral buckling is associated with a higher incidence of ERM. Search Results. Mean follow-up was 37 ± 35 months. 398A became effective on October 1, 2023. Background Treatment of recurrent retinal detachment (re-RD) following vitrectomy (post-gas/air tamponade and post-silicone oil removal) is challenging. Author Information and Affiliations Last Update: May 29, 2023. Veteran coders were accustomed to using now-deleted code 67112 (Repair of retinal detachment; by scleral buckling or vitrectomy, on patient having previous ipsilateral retinal detachment repair [s] using scleral buckling or vitrectomy. : T85. ICD 10: H30. ICD-10-CM Diagnosis Code H15. compared the outcomes of primary uncomplicated RRD repair using PPV alone with those achieved via the combination of SB and PPV. ICD-10-PCS Official Guidelines for Coding and Reporting 2020 For the new coder, and even for the veteran, this chapter provides an overview and detailed instructions on ICD-10-PCS coding guidelines and conventions. The medical record documents inadequate functional vision with any of the following: (1) contact lenses, (2. ICD-10 code H15. 059 may differ. Answer: ICD-10 does not have a unique code for this specific post-procedural diagnosis. 5 became effective on October 1, 2023. 849 [convert to ICD-9-CM] Scleral ectasia, unspecified eye. 1 It develops when there is a retinal ‘break’ or full-thickness defect in the neurosensory retina (NSR) that allows the ingress of fluid from the vitreous cavity into the subretinal space,. Access to this feature is available in the following products: Find-A-Code Essentials. Z98. This is the American ICD-10-CM version of Q13. ICD Code H15. 41 Lid retraction or lag ICD-10-CM H02. The 2024 edition of ICD-10-CM T85. 328A: 996. Outer wall breaks have a 10-27% incidence and usually can be observed. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM. Exposed Scleral Buckle. Bilateral scleral ectasia; Scleral ectasia, both eyes. Applicable Codes Study with Quizlet and memorize flashcards containing terms like CASE 1 ANESTHESIA: Laryngeal mask anesthesia. [9]Scleral buckling and pars plana vitrectomy versus pars plana vitrectomy alone in the treatment of rhegmatogenous retinal detachment with inferior break. Study with Quizlet and memorize flashcards containing terms like CASE 1 ANESTHESIA: Laryngeal mask anesthesia. Scleral buckling remains a popular technique to repair retinal detachments (RDs), either as primary treatment or as an adjunct to pars plana vitrectomy (PPV). In such cases the scleral buckle must be removed which brings with it the risk of retinal. Scleral ectasia, right eye. 19 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 379. 0093). The 2024 edition of ICD-10-CM D47. The neurosensory retina depends on its underlying layers (the. 8 became effective on. % Change in Office Pay 2020-21. 379 became effective on October 1, 2023. A scleral buckle is a piece of silicone sponge, rubber, or semi-hard plastic that your eye doctor (ophthalmologist) places on the outside of the eye (the sclera, or the white of the eye). The initial operative procedure consisted of 20-gauge pars plana vitrectomy, 360-degree scleral buckle, laser endophotocoagulation surrounding retinal tears, and infusion of 5000-centistoke silicone oil (Ophthalmos®, São Paulo, SP) into the vitreous cavity (Figure 1). The retina is a layer of tissue located inside the eye. ) PROCEDURE: Scleral buckle, cryoretinopexy, drainage of. ICD-10: H15. 009 became effective on October 1, 2023. 11. A part of the buckle that had already extruded from the conjunctiva was removed through the existing wound. 8. 001), have a delayed presentation after symptoms (P = 0. 49 - Other scleral buckling. Background A scleral buckle is performed for retinal detachment to reestablish the geometric proximity of separated layers in the retina. The last digit (signified by -) is to be added to indicate right, left, bilateral, or unspecified eye—1, 2, 3, or 9, respectively. Answer: You are correct. 89 contain annotation back-references that may be applicable to Z98. 5 mm from the limbus using a 24 G needle. Risk factors for developing a scleral rupture during RD surgery include reoperation following a previously failed RD repair and pre-existing scleral pathology including high axial myopia. 2024 ICD-10-CM Range H00-H59. Scleral buckling became an established technique for retinal detachment repair, with long-term studies reporting a 95% final success rate at 20-year follow-up [], only 13–23% re-operation rate [36,37,38] and a median visual acuity at 6/12 at long-term follow-up [36, 38]. ICD-10-CM Code for Scleral ectasia, left eye H15. Descriptor. 89 [convert to. Contents. AI Homework Help. HCPCS Code for Scleral Buckle Sleeve and Strip | Medical Billing and Coding Forum - AAPC. 68 results found. Scleral buckles are devices implanted into the eye for the treatment of rhegmatogenous retinal detachment. Study Resources. POSTOPERATIVE DIAGNOSIS: Retinal detachment, right eye. It is an effective, less. History Of DiseaseRound hole of retina without detachment ICD-10 H33. Introduction. Ajay Kuriyan discloses financial relationships with 4DMT, Adverum. Use CPT code 67107–58–eye modifier. MIRAgel (MIRA, Waltham, MA) is a hydrogel buckle that was introduced in 1979 as a new scleral implant for the treatment of retinal detachment. H11. ICD-10-CM Diagnosis Code Z98. CPT Code. H44. [] Schepens' initial technique describes a lamellar dissection of the sclera and placement of. 89. Access to this feature is available in the following products: Find-A-Code Essentials. 19 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 379. 001 - other international versions of ICD-10 H15. 843 [convert to ICD-9-CM] Scleral ectasia, bilateral. No implant was placed at the time of the enucleation. Subscribe to Codify by AAPC and get the code details in a flash. International Classification of Disease (ICD) ICD-9-CM 374. Diagnosis Clinical diagnosis Answer: Submit CPT code is 67108 Repair of retinal detachment; with vitrectomy, any method, with or without air or gas tamponade, focal endolaser photocoagulation, cryotherapypy, drainage of subretinal fluid, scleral buckling, and/or removal of lens by same technique. Synonyms: acquired scleral show due to eyelid deformity, anterior sclera finding,Step-by-step illustration of the suprachoroidal buckling procedure. kernicterus ( P57. 002 - other international versions of ICD-10 H15. ICD-10-CM Codes. Q13. Scleral buckles have advantages over vitrectomy such as crystalline lens preservation, earlier visual rehabilitation, and absence of positioning requirements; however, vitreous status is the most important consideration in choosing a scleral buckle technique for primary retinal detachment. 2011. Retinal detachments are usually caused by retinal tears, and a scleral buckle can be used to close the retinal break, both for acute and chronic retinal detachments. ). 1016/j. 2. 8 - other international versions of ICD-10 H15. The buckles are small bands often made from silicon which are usually sutured into the. ICD-9-CM 379. 841 - other international versions of ICD-10 H15. 3. To report see 67107, 67108, 67110, 67113. This is either because of missed breaks, inadequate or misplaced buckles, or inadequate retinopexy. A 15% random sample was extracted from 884 cases of primary scleral buckling procedures performed from 1983 to 1987. Scleral ectasia; Scleral staphyloma. 5% to 18. ICD-9-CM or ICD-9-PCS code value. Materials and methods: The narrative literature review. Code 69105 is the correct code for a biopsy, by any method of the external auditory canal. 410-955-5000 Maryland; 855-695-4872 Outside of Maryland +1-410-502-7683 International; Find a Doctor. • Repair of zone 2 ruptured globe with resection of uveal tissue, right eye—CPT code 65285 Repair of lacera-tion; cornea and/or sclera, perforating, with reposition or resection of uveal tissue. H44. 053. 092 became effective on October 1, 2022. 1 In comparison to the 30–40% success rates initially reported by Gonin, 2 scleral buckling has been reported to result in anatomic reattachment in up to 94% of uncomplicated retinal detachment. This is the American ICD-10-CM version of H44. 0. 02 is a specific code and is valid to identify a procedure. Two The placement of the scleral buckle and the retinopexy 1. Paul Sullivan, in Retina (Fifth Edition), 2013. Tabs. Several ways to repair RRD include pneumatic retinopexy (PR), pars plana vitrectomy (PPV), SB or a combination of these. Abstract. 59 should only be used for claims with a date of service on or before September 30, 2015. This is the American ICD-10-CM version of H11. 841 for Scleral ectasia, right eye is a medical classification as listed by WHO under the range - Diseases of the eye and adnexa . H15. 8. 18 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Results. Diagnosis: Exposed Scleral Buckle. Source ICD-10-CM Code Target ICD-9-CM Code; T85. 219A became effective on October 1, 2023. drainage of subretinal fluid, scleral buckling, and/or removal of lens. ICD-10: H35. 002 may differ. In this clinical video, Dr. 51 - Corneal grft malfunction: Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code. Scleral Buckling Pneumatic Retinopexy Vitrectomy Surgery: Jim's Story Cataract Surgery Recovery: 5 Tips From an Expert. CPT code 67115 (Release of encircling material, posterior segment) is usually used for releasing tension. 89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. It is contained within the Repair root operation of the Eye body system under the Medical and Surgical section. Conclusion: Pneumatic buckle is an effective technique for repair of primary rhegmatogenous retinal detachments caused by breaks in the superior 8 o'clock segment. Note: dots are not included Code Type: PROCEDURE: Specifies the type of code (Diagnosis / Procedure) Description: SCLERAL BUCKLING NEC (OTHER SCLERAL BUCKLING) Full code's title Mapping: 1449 ICD-9 ⇄ ICD-10 Crosswalk .Scleral buckling (SB) is a traditionally effective surgery for the repair of uncomplicated retinal detachment (RD) and has a success rate of 85–95% []. Answer: The proper procedure code for removal of the buckle is 67120 ( removal of implanted material, posterior segment; extraocular ). 2%) and. 8581). 3- Retinal breaks without detachment has an Excludes1 note indicating that you can’t also report H35. S05. 00XA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Eyes that underwent SB removal between 2010 and 2016 with greater than 1 year of follow-up were included. 89. Scleral ectasia; Scleral staphyloma. ) PROCEDURE: Scleral buckle, cryoretinopexy, drainage of subretinal fluid, C3F8 gas in the right eye. ICD-10-CM H15. SUGGESTED. Scleral buckling is performed to relieve vitreous traction which closes the defects in the retina and reduces the chances of recurrent detachment. 89 became effective on October 1, 2023. , and resulted in final best corrected visual acuity (BCVA) worse than 20/20 more significantly than patients with observation (91. POSTOPERATIVE DIAGNOSIS: Retinal detachment, right eye. ICD-10-CM CODE(S) 67113 - Repair of complex retinal detachment with vitrectomy and. The 2024 edition of ICD-10-CM Q13. The 2024 edition of ICD-10-CM H33. scleral buckling; and/or removal of lens Comment: Techniques used in a surgical case from this category, with rare exceptions, should not and cannot be coded separately and are bundled together in the National Correct Coding Initiative (NCCI). E08. 01 may differ. PREOPERATIVE DIAGNOSIS: Retinal detachment, right eye. Scleral buckle surgery, or scleral buckling, repairs a retinal detachment. However, he did do a scleral buckle, but the only. Bilateral scleral ectasia; Scleral ectasia, both eyes. A type 1 excludes note indicates that the code excluded should never be used at the same time as T59. Treatment and prognosis. ICD-10-CM Code for Scleral ectasia, left eye H15. 001 PMID: 22516538 > Crossref Medline Google Scholar; 10. 843 [convert to ICD-9-CM] Scleral ectasia, bilateral. 1 became effective on October 1, 2023. The patient presents during the postop period of a trabeculectomy. Disorders of sclera (H15) Other scleritis, unspecified eye (H15. 1 SCH occurs less commonly in association with modern. [1,2,3,4] Few uncommon complications were reported after SB surgery, such as buckle expose, infection, diplopia, buckle migration,. Patients underwent 23‐gauge vitrectomy without adjuvant scleral buckling by a single surgeon and had follow‐up at least 6 months after silicone oil removal. The 2023 edition of ICD-10-CM M85. Larry Puthenparambil demonstrates removal of a 30-year-old scleral buckle, which extruded likely because the surgeon did not place the buckle underneath the rectus muscles. During encircling scleral buckle placement, the ends of the element/band are tightened in order to achieve a shortened radius of the eye at the place of the buckle. View in Article Google Scholar; Abu Eleinen K. The 2024 edition of ICD-10-CM H15. ICD-10-PCS; New 2023 Codes; Codes Revised in 2023; Codes Deleted in 2023; HCPCS . Pars plana vitrectomy was combined with phacoemulsification in phakic eyes. 842 ICD-10 code H15. This condition is more common in males (72%. ICD-10. Is it correct to bill 67115? A. Prior to this, a combination of CPT codes 67108 and 67038 was used: 67108 - Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal endolaser photocoagulation, cryotherapy, drainage of subretinal fluid, scleral buckling, and/or removal of lens by same technique. 009 - other international versions of ICD-10 H33. Intravitreal injection. Scleral tunnels are made at the edge of the scleral flap near the sclerotomy sites with the help of a 26 G bent needle. of vitrectomy; Hx of yag laser capsulotomy;. Although the majority of scleritis cases are due to an autoimmune etiology, approximately 5 to 10% of. It has been reported in 0. 841 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 019 may differ. The fluid is reabsorbed naturally by the RPE pump. 68 results found. The pupils are dilated (made bigger) with eye drops. • Necrotizing. ICD-10-CM; DRGs; HCCs; ICD-11; SNOMED CT; ICD-9-CM; procedures. To code for the complication, you have two choices: 996. The current study was a prospective randomized clinical trial. 67108 Repair of retinal detachment; with vitrectomy, any method including, when performed, air or gas tamponade, focal endolaser photocoagulation, cryotherapy, drainage of subretinal fluid, scleral buckling, and/or removal of. 1 • Nodular scleritis is characterized by a localized area of inflammation where a distinct nodule can be seen. 11. This review aims to summarize the anatomical consideration and causes of scleral. Design: Retrospective, consecutive, nonrandomized, comparative interventional case series. This is the American ICD-10-CM version of H52. 811 - other international versions of ICD-10 H59. 811 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Open navigation menu. Retinal detachment with retinal break. Short description: Disorder of sclera NEC. Other disorders of sclera. What are the CPT® and ICD-10-CM codes reported?A scleral buckle is performed to repair a retinal detachment by reestablishing the anatomic proximity of separated retina from its underlying tissue. Furthermore, because the convex radius of curvature of the retina on the scleral buckle is much smaller than the concave radius of curvature of. This was the first year ICD-10-CM was implemented into the HIPAA code set. Scleromalacia Perforans (SP). A corresponding procedure code must accompany a Z code if a procedure is performed. ICD-9-CM 379. G. 360 degree retinopexy, either in the form of cryopexy or laser photocoagulation may also be considered. fortuitum. H55-H57 Other disorders of eye and adnexa. In general, retinal detachment repairs succeed in about 9. 3 - other international versions of ICD-10 T85. 2012; 57(3):253–263. If this is your first visit, be sure to check out the FAQ & read the forum rules. 51 to ICD-10-PCS; 14. Scleral buckling is commonly performed with laser photocoagulation or cryopexy to repair the detached retina. H59. |3| A small radial incision was made on the tympanic membrane |4| and the serous fluid was suctioned from the middle ear. This section shows you chapter-specific coding guidelines to increase your understanding and correct usage of the target ICD-10-CM Volume 1 code. In normal eyes, retinal detachment (RD) occurs at a rate of approximately 5 per 100,000 people per year and the frequency of proliferative vitreoretinopathy (PVR) remains largely unchanged in primary RD, with the incidence ranging from 5. 37,38 The discomfort, poor refractive outcomes and tissue erosion caused by scleral buckles can be avoided with vitrectomy alone without compromising outcome. 328A: 996. A scleral buckle is a piece of silicone sponge, rubber, or semi-hard plastic that your eye doctor (ophthalmologist) places on the outside of the eye (the sclera, or the white of the eye). 1. Culture of the protruded segment. The buckles are small bands often made from silicon which are usually. 019 became effective on. Request an Appointment Find a Doctor. The incidence of subretinal fluid (SRF) after SB is generally within the range of 27–78% [2,3,4,5], whereas it also yielded 94% in a specific reported case []. Related. 41 Scleral buckling with implant. Retinal detachments and breaks (H33) Total retinal detachment, left eye (H33. Scleral buckling is an ophthalmic surgical technique that has been successfully employed as a primary or adjuvant procedure to repair rhegmatogenous retinal detachments for over 60 years. 89 RVUs and is not bundled with 65285, 67930, 67935, or 66020. 1 - other international versions of ICD-10 H52. H59-H59 Intraoperative and postprocedural complications and disorders of eye and adnexa, not elsewhere classified. ICD-10-CM CODE(S) 67113 Repair of complex retinal detachment with vitrectomy and membrane peeling… -LT 1, 2, 4 65815 Paracentesis of anterior chamber; with removal of blood, with or without irrigation and/or air injection -51-LT 3, 4 Tips: • Most of the procedures are bundled under the NCCI and cannot be coded additionally. Type 2 Excludes 67108. Scleral buckling is a surgical procedure in which a piece of silicone plastic or sponge is sewn onto the sclera at the site of a retinal tear to push the sclera toward the retinal tear. PREOPERATIVE DIAGNOSIS: Retinal detachment, right eye. Scleral buckling (SB) remains an important technique to master for those interested in treating rhegmatogenous retinal detachment (RRD). E08. 379 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. CPT codes 67120 and 67121. Scleral buckle placement may result in an anterior chamber depth reduction that mimics aqueous misdirection. The 2024 edition of ICD-10-CM H33. 3531 . The surgery takes around 45 to 60 minutes. The retina is a layer of tissue located inside the eye. 002 became effective on October 1, 2023. 68 results found. Instill a drop of 0. MIRAgel episcleral implant swelling. 564 Other musculoskeletal system and connective. Subsequently, use a partial thickness pass to secure it to the sclera, providing room for adjustment of the IOL positioning (allowing the knot to prolapse internally) to optimize centration. Related. The buckle-induced indentation aids in adhesion between the neurosensory retina and the retinal pigment epithelium, while relieving vitreous traction on the retina. ICD-10-PCS code: 08RK3JZ. ICD-10-PCS 0NR00JZ is a specific/billable code that can be used to indicate a procedure. If you or a loved one is suffering from a corneal ulcer, it’s important that you seek treatment as soon as possible to prevent it from worsening. 67311 has 16. The material is sewn to the. Copy of Icd 10 & Icd 9 Cm Rsca - Read online for free. H 15. The 2024 edition of ICD-10-CM H33. Use both 1% tropicamide and 2. Schepens CL. 2024 ICD-10-CM for Ophthalmology: The Complete Reference. The following code (s) above H31. Retrospective series. Scleral buckles are devices implanted into the eye for the treatment of rhegmatogenous retinal detachment. iop. To view all forums, post or create a new thread, you must be an AAPC Member. 41 59 SCLERAL BUCKLING WITH IMPLANT 14. Other large studies have shown with careful case selection a 99% single. 67113-Repair of complex retinal detachment (eg, proliferative vitreoretinopathy. Specific values will vary slightly. Mean follow‐up was 37 ± 35 months. Its reported incidence varies, but in general 5-20% of patients with angle recession develop glaucoma. Hx of scleral buckling with vitrectomy; Hx of selective laser trabeculoplasty; Hx of simple. The 2024 edition of ICD-10-CM Q13. Background: To compare pars plana vitrectomy (PPV) with 1300 cs silicone oil and scleral buckle (SB) vs PPV with Oxane HD tamponade for rhegmatogenous retinal detachment (RRD) with inferior retinal breaks (IRB). 41 - Scleral buckling with implant. 01 - other international versions of ICD-10 D47. Scleritis is often associated with an underlying systemic disease in up to 50% of patients. If it is the same site, only submit CPT code 67255 Scleral reinforcement (separate procedure); without graft.