tci Outpatient Facility Coding Alert - 2012 Issue 1

Reader Question: 66985 Focuses on Secondary Implant

Question: We have a patient scheduled for a secondary IOL (intraocular lens) implant. How do I know whether to code with 66985 or 66986?Tennessee Subscriber Answer: You'll need to know a bit about the patient's history in order to choose the correct code. If the patient had previous cataract surgery but did not have a lens implanted at the time, report 66985 (Insertion of intraocular lens prosthesis [secondary implant], not associated with concurrent cataract removal) for the upcoming procedure. Example 1: Complications during the original cataract surgery could keep the surgeon from implanting the IOL at that time...

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