US · guidance
CMS Pub. 100-04, ch. 32, § 300.1
Coding Requirements for OPT with Verteporfin
The following are applicable Current Procedural Terminology (CPT) codes for OPT with
Verteporfin:
67221- Destruction of localized lesion of choroid (e.g. choroidal neovascularization);
photodynamic therapy (includes intravenous infusion)
67225- Destruction of localized lesion of choroid (e.g. choroidal neovascularization);
photodynamic therapy, second eye, at single session (List separately in addition to code for
primary eye treatment)
The following are applicable Healthcare Common Procedure Coding System (HCPCS) code
for OPT with Verteporfin:
J3396- Injection, Verteporfin, 0.1 mg
History
(Rev. 2728, Issued: 06-14-13, Effective: 04-03-13, Implementation: 07-16-13)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
97a1f5fc09578e66fe5b9e1ee340659a157ef621e09cffc5519b5eb217839e88
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