CPT® Code 67332

Add-On Code

Strabismus surgery on patient with scarring of extraocular muscles (eg, prior ocular injury, strabismus or retinal detachment surgery) or restrictive myopathy (eg, dysthyroid ophthalmopathy) (List separately in addition to code for primary procedure)

Strabismus surgery, as described by CPT® Code 67332, is a specialized surgical procedure performed on patients who exhibit scarring of the extraocular muscles. This scarring may result from prior ocular injuries, previous strabismus surgeries, or retinal detachment surgeries. Additionally, it can occur in patients with restrictive myopathy, such as dysthyroid ophthalmopathy. The presence of scar tissue complicates the surgical approach, making the procedure technically more challenging. During the surgery, an incision is made in the conjunctiva, which is the thin membrane covering the eye, to access the affected extraocular muscle. The surgeon then carefully exposes the muscle insertion site, where scar tissue and adhesions are meticulously released. Any old suture material may also be removed as necessary to facilitate the procedure. Following this preparatory work, the surgeon performs the primary strabismus procedure, which may involve recession, resection, or other corrective techniques. It is important to note that this code is used in conjunction with the primary procedure code, as it is reported separately to account for the additional complexity involved in operating on a patient with such prior ocular conditions.