Codes for Surgery Centers to Report A-C IOLs and Related Procedures, Services

The following Q&A comes from the Centers for Medicare & Medicaid Services website.
 
Q: What codes should hospitals, ambulatory surgery centers and physicians use to report astigmatism-correcting intraocular lenses (A-C IOLs) or procedures and services related to an A-C IOL?
 
CMS: No new codes are being established at this time to identify an A-C IOL or procedures and services related to an A-C IOL, and hospitals, ASCs and physicians should report one of the following CPT codes to bill Medicare for removal of a cataract with IOL insertion:

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• CPT Code 66982 – Extracapsular cataract 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 development stage,

• CPT Code 66983 – Intracapsular cataract extraction with insertion of intraocular lens prosthesis (one stage procedure), or

• CPT Code 66984 – Extracapsular cataract removal with insertion of intraocular lens prosthesis (one stage procedure), manual or mechanical technique (e.g., irrigation and aspiration or phacoemulsification).

Reference: http://www.cms.hhs.gov/mlnmattersarticles/downloads/MM5527.pdf; http://www.cms.hhs.gov/transmittals/downloads/R1228CP.pdf

 

Source: CMS

 

Read more ASC coding guidance:

 

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