CPT® Code 67115

The procedure described by CPT® Code 67115 refers to the release of encircling material, specifically in the context of the posterior segment of the eye. This procedure is commonly associated with the management of complications arising from a scleral buckle, which is a type of encircling material used to support the eye and treat conditions such as retinal detachment. The release of this material is typically indicated when there is an infection or when the buckle has intruded into the scleral tissue, potentially causing further complications. During the procedure, a lid speculum is utilized to hold the eyelids open, providing the surgeon with a clear view of the eye. Local anesthesia is administered to ensure patient comfort throughout the process. The surgical approach involves detaching one of the rectus muscles to gain access to the sclera, where the encircling material is located. The surgeon then carefully cuts and removes the encircling material. In cases where the implant has become embedded within the scleral tissue, specialized instruments such as a fragmatome may be employed to break up and aspirate the pieces of the device. Finally, the rectus muscle is reattached to restore normal anatomical positioning. This procedure is critical for addressing complications associated with scleral buckles and ensuring the health and function of the eye.