choroidal biopsy

juecke

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Choroidal Biopsy

Choroidal Biopsy or Tap is CPT Code 67015

John D. Uecke CPC, CPMA, CMCO, CMIS, CMOM, CHA, MCMC, COBS, OCS
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NOVA Medical Billing, Inc.
 
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Parker, CO
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The biopsy was taken with forceps instead of aspiration. Would you still use the same code?

A limited conjunctival peritomy was fashioned inferiorly. The medial and inferior rectus muscles were isolated on 2-0 silk ties. Intraoperative ultrasound was performed to localize the deepest pocket of choroidal infiltration which was located at 7 o'clock. This was marked on the sclera. A scleral flap was then raised using a crescent blade. This was used to create a partial-thickness flap on the sclera that was approximately 8 mm wide and 6 mm long from the 6:30 position to the 8 o'clock position anterior to the equator, taking care to avoid the vortex vein. Once this flap was elevated, then a smaller window was lifted 1 mm set back from the margins of the original flap. This was dissected down into the choroidal space. Care was taken during this maneuver to not place excessive traction on the globe and expel the ocular contents. The ocular contents. Tissue could then be obtained with forceps and passed to Pathology. They did identify the cells as lymphocytes, with a suspicion for lymphoma. Adequate tissue was obtained for flow cytometry. A combination of interrupted and running 8-0 Vicryl sutures were used to close the scleral flap. No prolapsing or vitreous or retinal tissue was visualized during these portions of the maneuvers
 
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