tci Outpatient Facility Coding Alert - 2019 Issue 6

You Be the Coder: Think Twice Before Reporting 66982 for Capsular Cataract Staining

Question: Can I report complicated cataract code 66982 if the surgeon uses trypan blue to stain the cataract during extraction? Delaware Subscriber Answer: The use and removal of trypan blue does require more work and involvement on the part of the physician, however, it’s not enough to justify reporting code 66982 (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...

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