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AHA Coding Clinic® for HCPCS - 2011 Issue 4; ASK the EDITOR

Repositioning of dislocated intraocular lens

A patient with a dislocated intraocular lens of the right eye due to pseudoexfoliation syndrome and residual cataract material was scheduled to undergo repositioning of the lens and removal of the residual cataract material. A retrobulbar anesthetic was administered and the patient was brought to the operating room where the previous corneal wounds were opened with blunt dissection. The capsular bag was easily dissected off of the lens implant and the tension segment was removed with a complete tension ring placed into the capsular bag complex. The remaining cortical contents were removed via irrigation and aspiration. How should these services be appropriately reported? We were considering CPT code 66825 for the repositioning of intraocular lens but not sure if the exchange of the capsular ring is inherent in the code assignment. Additionally, we also considered assigning CPT code 66840 for the removal of the residual cataract material by irrigation and aspiration. What are the appropriate CPT codes for the services performed? ...

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