3 Procedure Codes. J Spec Oper Med. Ann Emerg Med. Time is eye; a lateral canthotomy is indicated for trauma patients with orbital compartment syndrome within 60-120 minutes of onset of ischemic features (decreased visual acuity and RAPD) as a temporizing measure to definitive … Condition/Service CPT code(s) Temporal artery biopsy 376 09 Ligation or biopsy temporal artery RD - macula on . Lateral canthotomy and cantholysis is a simple procedure that can be performed by emergency physicians. Cantholysis is canthotomy plus incision of the inferior branch (crus) of the tendon. 2009 Oct. 54(4):635, 642. . McInnes G, Howes DW. Emergency lateral canthotomy and cantholysis: a simple procedure to preserve vision from sight threatening orbital hemorrhage. Subconjunctival and orbital emphysema with orbital floor fracture. 08.51 Canthotomy. This policy describes the medical necessity requirements for canthotomy. 2009;9(3):26-32. Policy/Criteria I. Lateral canthotomy – cantholysis. Lateral canthotomy and cantholysis: a simple, vision-saving procedure. Lateral canthotomy and cantholysis: emergency management of orbital compartment syndrome. Ballard SR, Enzenauer RW, O'Donnell T, Fleming JC, Risk G, Waite AN. J Emerg Med. Background: Orbital compartment syndrome is a sight-threatening emergency. The case of a 37-year-old man with blunt ocular trauma, a retrobulbar hemorrhage and rapidly increasing Lateral canthotomy, the emergency treatment for orbital compartment syndrome, is the surgical exposure of the lateral canthal tendon. Weber D, Shaw S, Winslow J. Traumatic eye swelling. Objective: To present a case of orbital compartment syndrome caused by traumatic retrobulbar hemorrhage and the procedure of lateral canthotomy and cantholysis, reviewed with photographic illustration. Understanding the anatomy of the lateral canthus is critical for proper performance of lateral canthotomy and cantholysis. Technical Tips LATERAL CANTHOTOMY AND CANTHOLYSIS: EMERGENCY MANAGEMENT OF ORBITAL COMPARTMENT SYNDROME Adam D. Rowh, MD,* Jacob W. Ufberg, MD,* Theodore C. Chan, MD,† Gary M. Vilke, MD,† and Richard A. Harrigan, MD* *Department of Emergency Medicine, Temple University School of Medicine, Philadelphia, Pennsylvania and †Department of Emergency Crumpton KL, Shockley LW. Canthotomy is an operation for lengthening the palpebral fissure by incision through the lateral canthus or for restoration of the canthus. The lateral canthal tendon is a combined tendon-ligament that provides structural fixation of the lids (tarsal plates) and orbicularis oculi muscle to the inner aspect of the bony lateral orbital wall (zygoma), just posterior to the orbital rim . ICD-9-CM Vol. It has the potential to save vision, particularly in cases of blunt ocular trauma. 67101 Repair of retinal detachment, including drainage … J Emerg Med. Vision may be preserved when timely intervention is performed. The above description is abbreviated. 48 (3):325-30. . 48 (3):325-30. . Lateral canthotomy and cantholysis: emergency management of orbital compartment syndrome. 2015 Mar. 08.51 - Canthotomy. It is the policy of health plans affiliated with Centene Corporation ® that canthotomy is medically 2015 Mar.