CPT® Code 67113

Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction retinal detachment, retinopathy of prematurity, retinal tear of greater than 90 degrees), with vitrectomy and membrane peeling, including, when performed, air, gas, or silicone oil tamponade, cryotherapy, endolaser photocoagulation, drainage of subretinal fluid, scleral buckling, and/or removal of lens

The procedure described by CPT® Code 67113 involves the repair of a complex retinal detachment, which is a serious condition where the retina, the light-sensitive layer of tissue at the back of the eye, becomes separated from its underlying supportive tissue, the choroid. This detachment can occur due to various factors, including proliferative vitreoretinopathy (PVR) at stage C-1 or greater, diabetic traction retinal detachment, retinopathy of prematurity, or retinal tears that exceed 90 degrees in extent. The complexity of these detachments necessitates a multifaceted surgical approach to restore the retina's position and function. The procedure typically includes vitrectomy, which is the removal of the vitreous gel that fills the eye, and membrane peeling, where any membranes causing traction on the retina are carefully excised. Additional techniques may be employed during the surgery, such as the use of air, gas, or silicone oil tamponade to help reattach the retina, as well as cryotherapy and endolaser photocoagulation to treat the retinal tears. The surgery may also involve the drainage of subretinal fluid, scleral buckling to relieve traction, and, if necessary, the removal of the lens to enhance access to the retina. This comprehensive approach aims to ensure the successful reattachment of the retina and to prevent further complications, ultimately preserving vision.