CPT® Code 67228

Extensive or progressive retinopathy, particularly diabetic retinopathy, is a serious eye condition characterized by damage to the blood vessels in the retina. This damage can lead to swelling, leakage of blood, and the formation of new, abnormal blood vessels on the surface of the retina. The condition is often associated with diabetes and can significantly impact visual acuity. To assess the extent of the damage, visual acuity is evaluated, and the pupil is dilated to allow for a comprehensive examination of the retina. In preparation for treatment, a local anesthetic is administered to minimize discomfort during the procedure. Treatment options for extensive or progressive retinopathy include cryotherapy, diathermy, and photocoagulation. In the case of photocoagulation, a specific technique known as scatter laser treatment or pan retinal photocoagulation (PRP) is employed. This method involves delivering as many as 2,000 laser burns to the mid-periphery and periphery of the retina, carefully avoiding the central vision area known as the macula. The purpose of these burns is to destroy oxygen-deprived retinal tissue, seal leaking blood vessels, and prevent the formation of new blood vessels, thereby preserving vision and preventing further complications associated with diabetic retinopathy.