When do you use CPT code 66982?
CPT defines the code 66982 as: “Extracapsular cataract removal with insertion of intraocular lens prosthesis (one stage procedure), manual or mechanical technique (e.g., irrigation and aspiration or phacoemulsification), complex, requiring devices or techniques not generally used in routine cataract surgery (e.g., iris …
What is the difference between CPT code 66982 and 66984?
66982: Cataract surgery with insertion of intraocular lens, complex. 66983: Cataract surgery, intracapsular, with insertion of intraocular lens. 66984: Cataract surgery, extracapsular, with insertion of intraocular lens.
Is 66982 covered by Medicare?
What does Medicare allow for 66982? A. Surgeon reimbursement is about 25% higher than the Medicare rate for conventional cataract surgery with IOL (CPT 66984). In 2016, the national Medicare Physician Fee Schedule-allowed amount for 66982 is $806.
What is the CPT code 66984?
Extracapsular cataract removal
66984—Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (e.g., irrigation and aspiration or phacoemulsification); without endoscopic cyclophotocoagulation.
What is the procedure code for cataract extraction?
Cataract Surgery Procedure Codes
| Code | Descriptor |
|---|---|
| 66983 | Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure) |
How do you bill Goniotomy for cataract surgery?
Use CPT 65820 (Goniotomy).
What technique was used to destroy the cataract?
In 1997, scientists from ITMO University and S.N. Fyodorov Eye Microsurgery Complex, as well as several other research institutions, started to experiment with the use of laser radiation for destroying the cataract.
What is the Medicare reimbursement for cataract surgery?
In July, the CMS released a proposed rule that will affect the Medicare Physician Fee Schedule for 2020. If the rule is finalized as is, reimbursement for cataract surgery (CPT code 66984) will be reduced from $654.47 to $557.58—a 15% cut in payment with no changes in the requirements or costs of the procedure.
Can 92250 and 92235 be billed together?
A Yes. According to Medicare’s National Correct Coding Initiative (NCCI), 92250 is mutually exclusive with scanning computerized ophthalmic diagnostic imaging of the posterior segment (92133, 92134).
Can a Hypermature cataract be removed?
The surgical removal of a hypermature cataract can significantly improve the patient’s visual outcome, but creating a continuous curvilinear capsulorhexis in order to perform a phacoemulsification is more challenging. These eyes, if left untreated, could develop phacolytic glaucoma.
What is an example of CPT code 66984?
For example, if the surgeon performing a cataract extraction (CPT code 66984) also provides anesthesia (CPT code 00142), the anesthesia service is not reported separately. Therefore, CPT code 00142 is bundled into CPT code 66984. Example 3:Separate Injury A patient undergoes pterygium surgery in the right eye.
What is CPT 66982 for Pediatric cataract surgery?
Pediatric cataract surgery with an IOL almost always involves primary posterior capsulo-rhexis which is defined as complex cataract surgery in the CPT description. CPT 66982 is judged on a case-by-case basis and may require an operative report to support your claim.
Do you put an operative note on a CPT claim?
When you file 66982, you dont put your operative note on the claim form. The payer wont know whether you are meeting the requirements of the CPT descriptor, which specifies how this cataract procedure is performed, unless it audits you. Carriers will be monitoring the usage of 66982 closely, Roberts says.