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Refractive cataract surgery coverage – Ophthalmology Professional

Ensure that your patients know what’s covered — and what isn’t.

In most situations, coding for cataract surgery with an IOL is relatively straightforward. You usually need to consider two common codes: CPT 66984 for “standard” surgery and CPT 66982 for more complex surgery. Coverage and payment are based on meeting the payer’s guidance, which commonly involves documenting patient lifestyle problems (often known as “activities of daily living,” or ADL) that arise from the cataract and other factors such as best-corrected acuity, the need to see the retina, and a few other less common reasons.

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:

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