New Codes for Ophthalmological Procedures (July 2022)

July 2022 pages 1-7 New Codes for Ophthalmological Procedures In the Current Procedural Terminology (CPT®) 2022 code set, important changes were made in the Eye and Ocular Adnexa subsection of the Surgery section. Two new codes (66989, 66991) were established to report cataract removal and intraocular lens (IOL) placement procedures during which insertion and placement of an anterior segment aqueous drainage device without an external reservoir into the trabecular meshwork, is performed. Prior to 2022, these services were reported with Category III codes that have since been deleted. In addition, a new Category III code (0671T) was established...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains selected 2022 CPT updates in ophthalmological surgery, with emphasis on cataract procedures and anterior segment aqueous drainage device reporting. It is relevant to ophthalmology coders, billing staff, and compliance teams who need a plain-language overview of the code-set changes, revised guidance, and related parenthetical notes discussed in CPT Assistant. The article also includes clinical examples and procedural descriptions intended to illustrate the kinds of scenarios addressed by the new and revised ophthalmology coding content.

Why This Topic Matters

Ophthalmology coding changes can affect how common cataract and glaucoma-related procedures are reported in CPT. Understanding the scope of the update helps coders and billers recognize when a 2022 code-set revision may apply.

Article Sections

  1. July 2022 pages 1-7

    Introduces the article’s CPT 2022 ophthalmology update and summarizes the general nature of the code changes discussed.

  2. Intraocular Lens Procedures

    Covers cataract surgery-related CPT changes, including new code relationships, revised guidance, and the broader context for reporting intraocular lens procedures.

  3. Category III Codes

    Reviews the Category III code changes discussed in the article, including the transition of certain services and the addition of new reporting guidance.

  4. Clinical Example (66989) / Description of Procedure (66989)

    Provides an illustrative scenario and a procedural walk-through associated with one of the new ophthalmology codes and its related surgical context.

  5. Clinical Example (66991) / Description of Procedure (66991)

    Provides an illustrative scenario and a procedural walk-through associated with the other new cataract-plus-device code and its related surgical context.

  6. Clinical Example (0671T) / Description of Procedure (0671T)

    Provides an illustrative scenario and a procedural walk-through for device placement reported without concomitant cataract surgery.

What You Will Learn

  • What ophthalmology-related CPT 2022 updates are discussed
  • How the article frames the relationship between cataract surgery and aqueous drainage device reporting
  • What kinds of guidance and parenthetical notes were added or revised
  • How the article uses clinical examples to illustrate the new ophthalmology coding content

Who Should Read This

  • Ophthalmology coders
  • Medical billing staff
  • Coding educators
  • Compliance staff
  • Revenue cycle teams

Codes Discussed


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