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CPT®
67112

CPT® Code 67112
Deleted

Code deleted, to report see 67107, 67108, 67110, 67113

Official Description

Repair of retinal detachment; by scleral buckling or vitrectomy, on patient having previous ipsilateral retinal detachment repair(s) using scleral buckling or vitrectomy techniques

© Copyright 2026 American Medical Association. All rights reserved.

Common Language Description

The CPT® Code 67112 refers to the surgical procedure for the repair of retinal detachment through scleral buckling or vitrectomy techniques. This specific code is utilized when the patient has a history of previous retinal detachment repairs on the same eye, which may have involved either scleral buckling or vitrectomy. Retinal detachment is a serious condition characterized by the separation of the retina from its underlying supportive tissue, the choroid. This separation can lead to significant visual impairment, including blurred vision, and if not addressed promptly, it may result in permanent blindness. The procedure typically begins with the application of a lid speculum to keep the eyelids open, allowing for better access to the eye. Local anesthesia is administered to ensure patient comfort during the surgery. The vitreous, a gel-like substance that occupies the eye's interior, is often removed to facilitate the repair process. The mechanical vitrectomy involves making three small incisions in the pars plana, through which a light pipe, infusion port, and vitrectomy device are inserted. The light pipe illuminates the surgical field, while the vitrectomy device carefully removes the vitreous gel in a controlled manner, replacing it with fluid to maintain intraocular pressure. If necessary, a scleral buckle is applied, which involves detaching one of the rectus muscles to access the sclera. The buckle is then secured to the sclera, pushing it inward to relieve traction on the retina, allowing it to reattach and heal against the choroid. Finally, the rectus muscle is reattached to complete the procedure.

© Copyright 2026 Coding Ahead. All rights reserved.

1. Indications

The procedure coded as CPT® 67112 is indicated for patients who have experienced retinal detachment and have a history of previous ipsilateral retinal detachment repairs. The following conditions may warrant this surgical intervention:

  • Retinal Detachment: A condition where the retina separates from the underlying choroid, leading to potential vision loss.
  • Previous Retinal Detachment Repair: Patients who have undergone prior surgical interventions, such as scleral buckling or vitrectomy, on the same eye and are experiencing a recurrence of retinal detachment.

2. Procedure

The procedure for CPT® 67112 involves several critical steps to effectively repair the retinal detachment. Each step is designed to ensure the successful reattachment of the retina and restoration of vision.

  • Step 1: Anesthesia and Preparation - The procedure begins with the administration of local anesthesia to ensure the patient is comfortable throughout the surgery. A lid speculum is then placed to keep the eyelids open, providing the surgeon with clear access to the eye.
  • Step 2: Vitrectomy - To address the retinal detachment, the vitreous gel, which fills the center of the eye, must be removed. This is accomplished through mechanical vitrectomy, where three small incisions are made in the pars plana. A light pipe is inserted to illuminate the surgical area, and an infusion port is established to maintain intraocular pressure. The vitrectomy device, which is a microscopic oscillating cutting instrument, is then used to carefully remove the vitreous gel in a slow and controlled manner, ensuring that the eye's pressure is maintained by replacing the removed vitreous with fluid.
  • Step 3: Scleral Buckling (if necessary) - If a scleral buckle is required to assist in the repair, one of the rectus muscles is detached to allow access to the sclera. The scleral buckle is then secured to the sclera, which pushes the sclera inward toward the center of the eye. This action relieves traction on the retina, facilitating its reattachment to the choroid. Once the buckle is in place, the detached rectus muscle is reattached to complete the procedure.

3. Post-Procedure

After the completion of the procedure, patients are typically monitored for any immediate complications. Post-operative care may include instructions on eye protection, the use of prescribed medications to manage pain and prevent infection, and follow-up appointments to assess the success of the retinal repair. Patients may experience some discomfort and blurred vision initially, but these symptoms are expected to improve as healing progresses. It is crucial for patients to adhere to their follow-up schedule to ensure proper recovery and to address any potential issues that may arise.
Short Descr REREPAIR DETACHED RETINA
Medium Descr RPR RETINAL DTCHMNT SCLERAL BUCKLING/VITRECTOMY
Long Descr Repair of retinal detachment; by scleral buckling or vitrectomy, on patient having previous ipsilateral retinal detachment repair(s) using scleral buckling or vitrectomy techniques
Status Code Active Code
Global Days 090 - Major Surgery
PC/TC Indicator (26, TC) 0 - Physician Service Code
Multiple Procedures (51) 2 - Standard payment adjustment rules for multiple procedures apply.
Bilateral Surgery (50) 1 - 150% payment adjustment for bilateral procedures applies.
Physician Supervisions 09 - Concept does not apply.
Assistant Surgeon (80, 82) 2 - Payment restriction for assistants at surgery does not apply to this procedure...
Co-Surgeons (62) 1 - Co-surgeons could be paid, though supporting documentation is required...
Team Surgery (66) 0 - Team surgeons not permitted for this procedure.
Diagnostic Imaging Family 99 - Concept Does Not Apply
APC Status Indicator Procedure or Service, Multiple Reduction Applies
Type of Service (TOS) 2 - Surgery
Berenson-Eggers TOS (BETOS) P4C - Eye procedure - retinal detachment
MUE Not applicable/unspecified.
CCS Clinical Classification 16 - Repair of retinal tear, detachment
Date
Action
Notes
2016-01-01 Deleted Code deleted, to report see 67107, 67108, 67110, 67113
Pre-1990 Added Code added.
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