Document need for cataract surgery – Ophthalmic Professional

Claims are increasing, and it is therefore likely that scrutiny is also.

Apart from intravitreal injections, cataract with IOL implantation is the most common surgery with the Medicare program for ophthalmologists. In the 2017 Medicare Part B claims data, there were almost 1.9 million of these when you count both regular and complex surgery (CPT codes 66984 and 66982, respectively).¹ This number also is 2.8% larger than the prior year, and as such represents a large expense to the program. Anything this large will have some level of payer scrutiny.

This article was published in Ophthalmic Professional’s Coding column, and written by Corcoran’s Senior Consultant, Paul Larson, MBA, MMSC, COMT, COE, CPC, CPMA. To view the entire article in Ophthalmic Professional, click on the link below:

https://www.ophthalmicprofessional.com/issues/2019/march-2019/coding