Thank you for visiting our website. Our office is beginning to reopen, although our home office in San Bernardino is not fully staffed. The home office is open Monday – Thursday each week, and some Fridays We have employees working from home to answer your questions and our Consultants are available, as always. We are still conducting live webinars; please check the listings for dates and times. Please contact us at or leave a voicemail at (800) 399-6565. We will respond to your inquiries as soon as possible.

Medicare Reimbursement for Complex Cataract Surgery

A complex cataract surgery may be performed on a patient with pupils that do not dilate because of chronic parasympathomimetic drug use, scarring or trauma.  In such cases, mechanical dilation of the pupil is necessary to enable the surgeon to extract the cataract and place an IOL.

This code may also apply when the surgeon is required to suture the haptics of an IOL, or implant a capsular tension ring.  It may also apply for pediatric patients, or patients with a subluxated lens.  Other procedures requiring additional instrumentation or added steps may also qualify.

This FAQ addresses the following:

  1. What CPT codes describes complex cataract surgery?
  2. When is cataract surgery considered complex?
  3. What types of cataract surgery should not be considered complex?
  4. Must complex cataract surgery be preplanned?
  5. What diagnosis codes support complex cataract surgery?
  6. What does Medicare allow for 66982 and 66987?
  7. Is 66982 subject to Medicare’s NCCI edits?
  8. Are 66982 and 66987 eligible for HOPD and ASC reimbursement?
  9. How frequently is 66982 used?

Purchase This Resource:  

Price: $33.00

Purchase the FAQ Library:

Price: $400.00

For best results, please view in Mozilla Firefox.

Website by MIC