Reporting Subretinal Drug-Delivery Injection (0810T) (July 2024)

July 2024 page 8 Reporting Subretinal Drug-Delivery Injection (0810T) For the CPT 2024 code set, a new Category III code (0810T) was established to report the subretinal injection of a pharmacologic agent. Two new parenthetical notes were also added. This article provides an overview of the new code and its intended use. Category III Codes  0810TSubretinal injection of a pharmacologic agent, including vitrectomy and 1 or more retinotomies (Report medication separately) (Do not report 0810T in conjunction with 67036, 67039, 67040, 67041, 67042, 67043) Before 2024, there was no existing CPT code to report the subretinal injection of a...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This July 2024 CPT® Assistant article is about a new Category III ophthalmology code introduced in the 2024 CPT code set for subretinal injection of a pharmacologic agent. It is aimed at coding professionals working with ophthalmic procedures, especially those needing to understand the code’s intended use, related parenthetical notes, and the general procedural context discussed in the article. The piece includes an overview plus a clinical example and procedure narrative to illustrate the setting in which the new code applies.

Why This Topic Matters

Updates to Category III CPT codes can affect how new ophthalmic procedures are reported and how related services are handled in claims workflows. This article helps readers understand the scope of the new code and the accompanying coding notes in the 2024 code set.

Article Sections

  1. Category III Codes

    Introduces the new CPT Category III code discussed in the article and presents the surrounding parenthetical notes. The section frames the procedure area and the article’s general reporting context.

  2. Clinical Example (0810T) / Description of Procedure (0810T)

    Provides a representative clinical scenario and a step-by-step procedural narrative for the service discussed in the article. The material illustrates the operative setting and the broad sequence of care without serving as a substitute for the full guidance.

What You Will Learn

  • The purpose and scope of the new CPT Category III ophthalmic code discussed in the article.
  • How the article situates the code within broader procedure reporting context.
  • What kinds of supporting guidance and procedural context accompany the code in the 2024 update.
  • The type of clinical scenario used to illustrate the code’s intended use.

Who Should Read This

  • Medical coders
  • Coding educators
  • Ophthalmology billing staff
  • Compliance professionals
  • Revenue cycle teams

Codes Discussed

Code Ranges Discussed

  • CPT: 67036, 67039, 67040, 67041, 67042, 67043

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