an effective method to share Articles that Medicare contractors develop. Please review and accept the agreements in order to view Medicare Coverage documents, which may include licensed information and codes. With extracapsular cataract extraction, a larger incision is made in the eye, and the cataract is removed in one piece instead of being broken up. The American Hospital Association ("the AHA") has not reviewed, and is not responsible for, the completeness or accuracy of any information contained in this material, nor was the AHA or any of its affiliates, involved in the preparation of this material, or the analysis of information provided in the material. Billing and Coding articles typically include CPT/HCPCS procedure codes, ICD-10-CM diagnosis codes, as well as Bill Type, Revenue, and CPT/HCPCS Modifier codes. The Centers for Medicare & Medicaid Services (CMS), the federal agency responsible for administration of the Medicare, End User Point and Click Amendment: Applicable Federal Acquisition Regulation Clauses (FARS)/Department of Defense Federal Acquisition Regulation supplement (DFARS) Restrictions Apply to Government Use. Documentation Requirements:The following documentation must be present in the medical chart: For Visually-Symptomatic Cataract: For Complex Cataract Surgery (CPT code 66982): CPT defines the code 66982 as: "Extracapsular cataract extraction 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 expansion device, suture support for intraocular lens, or primary posterior capsulorrhexis) or performed on patients in the amblyogenic developmental stage.". Complete absence of all Revenue Codes indicates The responsibility for the content of this file/product is with CMS and no endorsement by the AMA is intended or implied. Importantly, for the surgeon (not the facility) the cataract and IOL codes 66982/66984 will be cut by about 15 percent for 2020. License to use CPT for any use not authorized herein must be obtained through the AMA, CPT Intellectual Property Services, AMA Plaza 330 N. Wabash Ave., Suite 39300, Chicago, IL 60611-5885. True True or False Code 55250-50 is reported for a bilateral vasectomy. This Agreement will terminate upon notice if you violate its terms. These CPT codes are for the removal of an IOL and its replacement: 65920. Know the codes: Here are some of the main CPT codes for cataract extractions with and without implant: Extraction of lens and lens material: 66850 Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (eg, phacoemulsification), with aspiration 66920 Removal of lens material; intracapsular 3. By clicking below on the button labeled "I accept", you hereby acknowledge that you have read, understood and agreed to all terms and conditions set forth in this agreement. Unless specified in the article, services reported under other (Note: If you inject viscoelastic into a limited portion of the canal via an opening created through the trabecular meshwork, dont use 66174. and/or making any commercial use of UB‐04 Manual or any portion thereof, including the codes and/or descriptions, is only Your MCD session is currently set to expire in 5 minutes due to inactivity. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available. Please do not use this feature to contact CMS. When one or more concomitant ocular diseases are present that potentially affect visual function (e.g., macular degeneration or diabetic retinopathy), the attestation should indicate that cataract is believed to be significantly contributing to the patients visual impairment. Guidance on these codes is available in the Bill type and Revenue code sections. authorized with an express license from the American Hospital Association. The AMA assumes no liability for data contained or not contained herein. CPT codes describing cataract extraction, (66830-66984) are mutually exclusive of one another. preparation of this material, or the analysis of information provided in the material. The surgical procedure perforation . Some of the codes may apply to rare procedures, but are provided here for reference. Applicable FARS\DFARS Restrictions Apply to Government Use. ICD-10-CM Codes that Support Medical Necessity, ICD-10-CM Codes that DO NOT Support Medical Necessity, REMOVAL OF LENS MATERIAL; ASPIRATION TECHNIQUE, 1 OR MORE STAGES, REMOVAL OF LENS MATERIAL; PHACOFRAGMENTATION TECHNIQUE (MECHANICAL OR ULTRASONIC) (EG, PHACOEMULSIFICATION), WITH ASPIRATION, REMOVAL OF LENS MATERIAL; PARS PLANA APPROACH, WITH OR WITHOUT VITRECTOMY, REMOVAL OF LENS MATERIAL; INTRACAPSULAR, FOR DISLOCATED LENS, REMOVAL OF LENS MATERIAL; EXTRACAPSULAR (OTHER THAN 66840, 66850, 66852), INTRACAPSULAR CATARACT EXTRACTION WITH INSERTION OF INTRAOCULAR LENS PROSTHESIS (1 STAGE PROCEDURE), EXTRACAPSULAR CATARACT REMOVAL WITH INSERTION OF INTRAOCULAR LENS PROSTHESIS (1 STAGE PROCEDURE), MANUAL OR MECHANICAL TECHNIQUE (EG, IRRIGATION AND ASPIRATION OR PHACOEMULSIFICATION); WITHOUT ENDOSCOPIC CYCLOPHOTOCOAGULATION, EXTRACAPSULAR CATARACT REMOVAL WITH INSERTION OF INTRAOCULAR LENS PROSTHESIS (1 STAGE PROCEDURE), MANUAL OR MECHANICAL TECHNIQUE (EG, IRRIGATION AND ASPIRATION OR PHACOEMULSIFICATION); WITH ENDOSCOPIC CYCLOPHOTOCOAGULATION, EXTRACAPSULAR CATARACT REMOVAL WITH INSERTION OF INTRAOCULAR LENS PROSTHESIS (1-STAGE PROCEDURE), MANUAL OR MECHANICAL TECHNIQUE (EG, IRRIGATION AND ASPIRATION OR PHACOEMULSIFICATION), COMPLEX, REQUIRING DEVICES OR TECHNIQUES NOT GENERALLY USED IN ROUTINE CATARACT SURGERY (EG, IRIS EXPANSION DEVICE, SUTURE SUPPORT FOR INTRAOCULAR LENS, OR PRIMARY POSTERIOR CAPSULORRHEXIS) OR PERFORMED ON PATIENTS IN THE AMBLYOGENIC DEVELOPMENTAL STAGE; WITHOUT ENDOSCOPIC CYCLOPHOTOCOAGULATION, EXTRACAPSULAR CATARACT REMOVAL WITH INSERTION OF INTRAOCULAR LENS PROSTHESIS (1-STAGE PROCEDURE), MANUAL OR MECHANICAL TECHNIQUE (EG, IRRIGATION AND ASPIRATION OR PHACOEMULSIFICATION), COMPLEX, REQUIRING DEVICES OR TECHNIQUES NOT GENERALLY USED IN ROUTINE CATARACT SURGERY (EG, IRIS EXPANSION DEVICE, SUTURE SUPPORT FOR INTRAOCULAR LENS, OR PRIMARY POSTERIOR CAPSULORRHEXIS) OR PERFORMED ON PATIENTS IN THE AMBLYOGENIC DEVELOPMENTAL STAGE; WITH ENDOSCOPIC 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specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral, Other specified diabetes mellitus with diabetic cataract, Other specified diabetes mellitus with diabetic macular edema, resolved following treatment, right eye, Other specified diabetes mellitus with diabetic macular edema, resolved following treatment, left eye, Other specified diabetes mellitus with diabetic macular edema, resolved following treatment, bilateral, Anterior subcapsular polar age-related cataract, right eye, Anterior subcapsular polar age-related cataract, left eye, Anterior subcapsular polar age-related cataract, bilateral, Posterior subcapsular polar age-related cataract, right eye, Posterior subcapsular polar age-related cataract, left eye, Posterior subcapsular polar age-related cataract, bilateral, Age-related cataract, morgagnian type, right eye, Age-related cataract, morgagnian type, left eye, Age-related cataract, morgagnian type, bilateral, Combined forms of age-related cataract, right eye, Combined forms of age-related cataract, left eye, Combined forms of age-related cataract, bilateral, Unspecified infantile and juvenile cataract, right eye, Unspecified infantile and juvenile cataract, left eye, Unspecified infantile and juvenile cataract, bilateral, Infantile and juvenile cortical, lamellar, or zonular cataract, right eye, Infantile and juvenile cortical, lamellar, or zonular cataract, left eye, Infantile and juvenile cortical, lamellar, or zonular cataract, bilateral, Infantile and juvenile nuclear cataract, right eye, Infantile and juvenile nuclear cataract, left eye, Infantile and juvenile nuclear cataract, bilateral, Anterior subcapsular polar infantile and juvenile cataract, right eye, Anterior subcapsular polar infantile and juvenile cataract, left eye, Anterior subcapsular polar infantile and juvenile cataract, bilateral, Posterior subcapsular polar infantile and juvenile cataract, right eye, Posterior subcapsular polar infantile and juvenile cataract, left eye, Posterior subcapsular polar infantile and juvenile cataract, bilateral, Combined forms of infantile and juvenile cataract, right eye, Combined forms of infantile and juvenile cataract, left eye, Combined forms of infantile and juvenile cataract, bilateral, Unspecified traumatic cataract, right eye, Unspecified traumatic cataract, bilateral, Cataract with neovascularization, right eye, Cataract with neovascularization, left eye, Cataract with neovascularization, bilateral, Cataract secondary to ocular disorders (degenerative) (inflammatory), right eye, Cataract secondary to ocular disorders (degenerative) (inflammatory), left eye, Cataract secondary to ocular disorders (degenerative) (inflammatory), bilateral, Glaucomatous flecks (subcapsular), right eye, Glaucomatous flecks (subcapsular), left eye, Glaucomatous flecks (subcapsular), bilateral, Unspecified retinal detachment with retinal break, right eye, Unspecified retinal detachment with retinal break, left eye, Unspecified retinal detachment with retinal break, bilateral, Retinal detachment with single break, right eye, Retinal detachment with single break, left eye, Retinal detachment with single break, bilateral, Retinal detachment with multiple breaks, right eye, Retinal detachment with multiple breaks, left eye, Retinal detachment with multiple breaks, bilateral, Retinal detachment with giant retinal tear, right eye, Retinal detachment with giant retinal tear, left eye, Retinal detachment with giant retinal tear, bilateral, Retinal detachment with retinal dialysis, right eye, Retinal detachment with retinal dialysis, left eye, Retinal detachment with retinal dialysis, bilateral, Retinal micro-aneurysms, unspecified, right eye, Retinal micro-aneurysms, unspecified, left eye, Retinal micro-aneurysms, unspecified, bilateral, Other non-diabetic proliferative retinopathy, right eye, Other non-diabetic proliferative retinopathy, left eye, Other non-diabetic proliferative retinopathy, bilateral, Exudative age-related macular degeneration, bilateral, stage unspecified, Exudative age-related macular degeneration, bilateral, with active choroidal neovascularization, Exudative age-related macular degeneration, bilateral, with inactive choroidal neovascularization, Exudative age-related macular degeneration, bilateral, with inactive scar, Macular cyst, hole, or pseudohole, right eye, Macular cyst, hole, or pseudohole, left eye, Macular cyst, hole, or pseudohole, bilateral, Cataract (lens) fragments in eye following cataract surgery, right eye, Cataract (lens) fragments in eye following cataract surgery, left eye, Cataract (lens) fragments in eye following cataract surgery, bilateral, Congenital lens malformation, unspecified, Iris atrophy (essential) (progressive), right eye, Iris atrophy (essential) (progressive), left eye, Iris atrophy (essential) (progressive), bilateral, Plateau iris syndrome (post-iridectomy) (postprocedural), Other specified disorders of iris and ciliary body, Unspecified disorder of iris and ciliary body, Disorders of iris and ciliary body in diseases classified elsewhere, Unspecified anomaly of pupillary function, Congenital malformation of anterior segment of eye, unspecified, Some older versions have been archived. 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