apply equally to all claims. As used herein, "you" and "your" refer to you and any organization on behalf of which you are acting. Documenting complex Cataract Surgery case Most of the ophthalmologists fear to bill for a complex case ( CPT code 66982) but you shouldn't. presented in the material do not necessarily represent the views of the AHA. 4.0 4.1 4.2 Blumenthal M, Ashkenazi I, Assia E, Cahane M. Ophthalmic Surg, 1992;23(10):699-701. An innovation in developing world cataract surgery: sutureless extracapsular cataract extraction with intraocular lens implantation. All rights reserved. You acknowledge that the ADA holds all copyright, trademark and other rights in CDT. CMS and its products and services are not endorsed by the AHA or any of its affiliates. The program covers drugs that are furnished "incident-to" a physician's service provided that the drugs are not "usually self-administered" by the patient. For the cataract and MIGS components of the procedure, submit 66989 (if cataract surgery is complex) or 66991 (if traditional) and append modifier 22 Increased procedural services for the ECP component. Esophagogastroduodenoscopy, flexible, transoral; biopsy; single or multiple ASCs: $110 HOPDs: $192 3. Medicare contractors are required to develop and disseminate Articles. . CPT code 66982 is defined as follows: "66982 Extracapsular cataract extraction 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 The page could not be loaded. Results and interpretation of specialized ophthalmic studies that are, Article - Billing and Coding: Cataract Surgery in Adults (A57195). American Journal of Ophthalmology 1992; title 21. Applications are available at the American Dental Association web site. 01 24 24 22 01 22 01 22 02 20 L8612 03 03 669XX Smith, John E. 123 Main Street Anytown Revenue Codes are equally subject to this coverage determination. An official website of the United States government. It deals with the issues in the eyes like cataract and glaucoma. AHA copyrighted materials including the UB‐04 codes and CMS has defined "not usually self-administered" according to how the Medicare population as a whole uses the drug, not how an individual patient or physician may choose to use a particular drug. ICD-10 code for the cataract procedure. Certain examination components may be appropriately excluded based on the specific condition and/or urgency of surgical intervention. that coverage is not influenced by Bill Type and the article should be assumed to of every MCD page. For CPT code 66982 and 66987, complex cataract extraction, to be reasonable and necessary, the procedure should require devices or techniques not generally used in routine cataract surgery. Organizations who contract with CMS acknowledge that they may have a commercial CDT license with the ADA, and that use of CDT codes as permitted herein for the administration of CMS programs does not extend to any other programs or services the organization may administer and royalties dues for the use of the CDT codes are governed by their commercial license. If you would like to extend your session, you may select the Continue Button. Only one code from this CPT code range may be reported for an eye. For the cataract and ECP, submit 66987 (if the cataract surgery is complex) or 66988 (if traditional), and append modifier 22 Increased procedural services for the stent. Guidance on these codes is available in the Bill type and Revenue code sections. CPT CODES 66982 Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (e.g., irrigation and aspiration or phacoemulsification), complex, requiring devices or techniques not generally used in routine The CMS.gov Web site currently does not fully support browsers with When a 360-degree viscodilation is performed, submit 66174 Transluminal dilation of aqueous outflow canal; without retention of device or stent, canaloplasty. This bulletin aims to keep you up-to-date with any changes to procedure codes published in the Bupa Schedule of Procedures. You shall not remove, alter, or obscure any ADA copyright notices or other proprietary rights notices included in the materials. Medicare benefits include a conventional intraocular lens (IOL) following cataract surgery, facility supplies and physician services to implant the conventional IOL and one pair of glasses or contact lenses as a prosthetic device post-operative. The following CPT codes are considered not medically reasonable and necessary (non-covered). CPT codes, descriptions and other data only are copyright 2022 American Medical Association. The AMA does not directly or indirectly practice medicine or dispense medical services. ICD-10-CM Codes that Support Medical Necessity, ICD-10-CM Codes that DO NOT Support Medical Necessity, REMOVAL OF LENS MATERIAL; ASPIRATION TECHNIQUE, 1 OR MORE STAGES, REMOVAL OF LENS MATERIAL; PHACOFRAGMENTATION TECHNIQUE (MECHANICAL OR ULTRASONIC) (EG, PHACOEMULSIFICATION), WITH ASPIRATION, REMOVAL OF LENS MATERIAL; PARS PLANA APPROACH, WITH OR WITHOUT VITRECTOMY, REMOVAL OF LENS MATERIAL; INTRACAPSULAR, FOR DISLOCATED LENS, REMOVAL OF LENS MATERIAL; EXTRACAPSULAR (OTHER THAN 66840, 66850, 66852), INTRACAPSULAR CATARACT EXTRACTION WITH INSERTION OF INTRAOCULAR LENS PROSTHESIS (1 STAGE PROCEDURE), EXTRACAPSULAR CATARACT REMOVAL WITH INSERTION OF INTRAOCULAR LENS PROSTHESIS (1 STAGE PROCEDURE), MANUAL OR MECHANICAL TECHNIQUE (EG, IRRIGATION AND ASPIRATION OR PHACOEMULSIFICATION); WITHOUT ENDOSCOPIC CYCLOPHOTOCOAGULATION, EXTRACAPSULAR CATARACT REMOVAL WITH INSERTION OF INTRAOCULAR LENS PROSTHESIS (1 STAGE PROCEDURE), MANUAL OR MECHANICAL TECHNIQUE (EG, IRRIGATION AND ASPIRATION OR PHACOEMULSIFICATION); WITH ENDOSCOPIC CYCLOPHOTOCOAGULATION, EXTRACAPSULAR CATARACT REMOVAL WITH INSERTION OF INTRAOCULAR LENS PROSTHESIS (1-STAGE PROCEDURE), MANUAL OR MECHANICAL TECHNIQUE (EG, IRRIGATION AND ASPIRATION OR PHACOEMULSIFICATION), COMPLEX, REQUIRING DEVICES OR TECHNIQUES NOT GENERALLY USED IN ROUTINE CATARACT SURGERY (EG, IRIS EXPANSION DEVICE, SUTURE SUPPORT FOR INTRAOCULAR LENS, OR PRIMARY POSTERIOR CAPSULORRHEXIS) OR PERFORMED ON PATIENTS IN THE AMBLYOGENIC DEVELOPMENTAL STAGE; WITHOUT ENDOSCOPIC CYCLOPHOTOCOAGULATION, EXTRACAPSULAR CATARACT REMOVAL WITH INSERTION OF INTRAOCULAR LENS PROSTHESIS (1-STAGE PROCEDURE), MANUAL OR MECHANICAL TECHNIQUE (EG, IRRIGATION AND ASPIRATION OR PHACOEMULSIFICATION), COMPLEX, REQUIRING DEVICES OR TECHNIQUES NOT GENERALLY USED IN ROUTINE CATARACT SURGERY (EG, IRIS EXPANSION DEVICE, SUTURE SUPPORT FOR INTRAOCULAR LENS, OR PRIMARY POSTERIOR CAPSULORRHEXIS) OR PERFORMED ON PATIENTS IN THE AMBLYOGENIC DEVELOPMENTAL STAGE; WITH ENDOSCOPIC CYCLOPHOTOCOAGULATION, Diabetes mellitus due to underlying condition with unspecified diabetic retinopathy with macular edema, Diabetes mellitus due to underlying condition with unspecified diabetic retinopathy without macular edema, Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy with macular edema, right eye, Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy with macular edema, left eye, Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy with macular edema, bilateral, Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy without macular edema, right eye, Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy without macular edema, left eye, Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy without macular edema, bilateral, Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy with macular edema, right eye, Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy with macular edema, left eye, Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy with macular edema, bilateral, Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy without macular edema, right eye, Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy without macular edema, left eye, Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy without macular edema, bilateral, Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy with macular edema, right eye, Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy with macular edema, left eye, Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy with macular edema, bilateral, Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy without macular edema, right eye, Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy without macular edema, left eye, Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy without macular edema, bilateral, Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with macular edema, right eye, Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with macular edema, left eye, Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with macular edema, bilateral, Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye, Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye, Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral, Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye, Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye, Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral, Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye, Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye, Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral, Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy, right eye, Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy, left eye, Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy, bilateral, Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular edema, right eye, Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular edema, left eye, Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular edema, bilateral, Diabetes mellitus due to underlying condition with diabetic cataract, Diabetes mellitus due to underlying condition with diabetic macular edema, resolved following treatment, right eye, Diabetes mellitus due to underlying condition with diabetic macular edema, resolved following treatment, left eye, Diabetes mellitus due to underlying condition with diabetic macular edema, resolved following treatment, bilateral, Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, right eye, Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eye, Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateral, Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, right eye, Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, left eye, Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, bilateral, Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eye, Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, left eye, Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateral, Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, right eye, Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, left eye, Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral, Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye, Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye, Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateral, Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, right eye, Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, left eye, Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, bilateral, Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye, Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye, Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral, Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye, Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye, Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral, Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye, Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye, Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral, Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye, Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye, Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral, Drug or chemical induced diabetes mellitus with stable proliferative diabetic retinopathy, right eye, Drug or chemical induced diabetes mellitus with stable proliferative diabetic retinopathy, left eye, Drug or chemical induced diabetes mellitus with stable proliferative diabetic retinopathy, bilateral, Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eye, Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eye, Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral, Drug or chemical induced diabetes mellitus with diabetic cataract, Drug or chemical induced diabetes mellitus with diabetic macular edema, resolved following treatment, right eye, Drug or chemical induced diabetes mellitus with diabetic macular edema, resolved following treatment, left eye, Drug or chemical induced diabetes mellitus with diabetic macular edema, resolved following treatment, bilateral, Type 1 diabetes mellitus with unspecified diabetic retinopathy with macular edema, Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, right eye, Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eye, Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateral, Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, right eye, Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, left eye, Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, bilateral, Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eye, Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, left eye, Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateral, Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, right eye, Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, left eye, Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral, Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye, Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye, Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateral, Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, right eye, Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, left eye, Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, bilateral, Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye, Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye, Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral, Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye, Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye, Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral, Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye, Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye, Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral, Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye, Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye, Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral, Type 1 diabetes mellitus with stable proliferative diabetic retinopathy, right eye, Type 1 diabetes mellitus with stable proliferative diabetic retinopathy, left eye, Type 1 diabetes mellitus with stable proliferative diabetic retinopathy, bilateral, Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eye, Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eye, Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral, Type 1 diabetes mellitus with diabetic cataract, Type 1 diabetes mellitus with diabetic macular edema, resolved following treatment, right eye, Type 1 diabetes mellitus with diabetic macular edema, resolved following treatment, left eye, Type 1 diabetes mellitus with diabetic macular edema, resolved following treatment, bilateral, Type 2 diabetes mellitus with unspecified diabetic retinopathy with macular edema, Type 2 diabetes mellitus with unspecified diabetic retinopathy without macular edema, Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, right eye, Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eye, Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateral, Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, right eye, Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, left eye, Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, bilateral, Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eye, Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, left eye, Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateral, Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, right eye, Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, left eye, Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral, Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye, Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye, Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateral, Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, right eye, Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, left eye, Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, bilateral, Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye, Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye, Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral, Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye, Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye, Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral, Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye, Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye, Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral, Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye, Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye, Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral, Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, right eye, Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, left eye, Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, bilateral, Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eye, Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eye, Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral, Type 2 diabetes mellitus with diabetic cataract, Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, right eye, Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, left eye, Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, bilateral, Other specified diabetes mellitus with unspecified diabetic retinopathy with macular edema, Other specified diabetes mellitus with unspecified diabetic retinopathy without macular edema, Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, right eye, Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eye, Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateral, Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, right eye, Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, left eye, Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, bilateral, Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eye, Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, left eye, Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateral, Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, right eye, Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, left eye, Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral, Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye, Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye, Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateral, Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, right eye, Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, left eye, Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, bilateral, Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye, Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye, Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral, Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye, Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye, Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral, Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye, Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye, Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral, Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye, Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye, Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral, Other specified diabetes mellitus with stable proliferative diabetic retinopathy, right eye, Other specified diabetes mellitus with stable proliferative diabetic retinopathy, left eye, Other specified diabetes mellitus with stable proliferative diabetic retinopathy, bilateral, Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eye, Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eye, Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral, Other specified diabetes mellitus with diabetic cataract, Other specified diabetes mellitus with diabetic macular edema, resolved following treatment, right eye, Other specified diabetes mellitus with diabetic macular edema, resolved following treatment, left eye, Other specified diabetes mellitus with diabetic macular edema, resolved following treatment, bilateral, Anterior subcapsular polar age-related cataract, right eye, Anterior subcapsular polar age-related cataract, left eye, Anterior subcapsular polar age-related cataract, bilateral, Posterior subcapsular polar age-related cataract, right eye, Posterior subcapsular polar age-related cataract, left eye, Posterior subcapsular polar age-related cataract, bilateral, Age-related cataract, morgagnian type, right eye, Age-related cataract, morgagnian type, left eye, Age-related cataract, morgagnian type, bilateral, Combined forms of age-related cataract, right eye, Combined forms of age-related cataract, left eye, Combined forms of age-related cataract, bilateral, Unspecified infantile and juvenile cataract, right eye, Unspecified infantile and juvenile cataract, left eye, Unspecified infantile and juvenile cataract, bilateral, Infantile and juvenile cortical, lamellar, or zonular cataract, right eye, Infantile and juvenile cortical, lamellar, or zonular cataract, left eye, Infantile and juvenile cortical, lamellar, or zonular cataract, bilateral, Infantile and juvenile nuclear cataract, right eye, Infantile and juvenile nuclear cataract, left eye, Infantile and juvenile nuclear cataract, bilateral, Anterior subcapsular polar infantile and juvenile cataract, right eye, Anterior subcapsular polar infantile and juvenile cataract, left eye, Anterior subcapsular polar infantile and juvenile cataract, bilateral, Posterior subcapsular polar infantile and juvenile cataract, right eye, Posterior subcapsular polar infantile and juvenile cataract, left eye, Posterior subcapsular polar infantile and juvenile cataract, bilateral, Combined forms of infantile and juvenile cataract, right eye, Combined forms of infantile and juvenile cataract, left eye, Combined forms of infantile and juvenile cataract, bilateral, Unspecified traumatic cataract, right eye, Unspecified traumatic cataract, bilateral, Cataract with neovascularization, right eye, Cataract with neovascularization, left eye, Cataract with neovascularization, bilateral, Cataract secondary to ocular disorders (degenerative) (inflammatory), right eye, Cataract secondary to ocular disorders (degenerative) (inflammatory), left eye, Cataract secondary to ocular disorders (degenerative) (inflammatory), bilateral, Glaucomatous flecks (subcapsular), right eye, Glaucomatous flecks (subcapsular), left eye, Glaucomatous flecks (subcapsular), bilateral, Unspecified retinal detachment with retinal break, right eye, Unspecified retinal detachment with retinal break, left eye, Unspecified retinal detachment with retinal break, bilateral, Retinal detachment with single break, right eye, Retinal detachment with single break, left eye, Retinal detachment with single break, bilateral, Retinal detachment with multiple breaks, right eye, Retinal detachment with multiple breaks, left eye, Retinal detachment with multiple breaks, bilateral, Retinal detachment with giant retinal tear, right eye, Retinal detachment with giant retinal tear, left eye, Retinal detachment with giant retinal tear, bilateral, Retinal detachment with retinal dialysis, right eye, Retinal detachment with retinal dialysis, left eye, Retinal detachment with retinal dialysis, bilateral, Retinal micro-aneurysms, unspecified, right eye, Retinal micro-aneurysms, unspecified, left eye, Retinal micro-aneurysms, unspecified, bilateral, Other non-diabetic proliferative retinopathy, right eye, Other non-diabetic proliferative retinopathy, left eye, Other non-diabetic proliferative retinopathy, bilateral, Exudative age-related macular degeneration, bilateral, stage unspecified, Exudative age-related macular degeneration, bilateral, with active choroidal neovascularization, Exudative age-related macular degeneration, bilateral, with inactive choroidal neovascularization, Exudative age-related macular degeneration, bilateral, with inactive scar, Macular cyst, hole, or pseudohole, right eye, Macular cyst, hole, or pseudohole, left eye, Macular cyst, hole, or pseudohole, bilateral, Cataract (lens) fragments in eye following cataract surgery, right eye, Cataract (lens) fragments in eye following cataract surgery, left eye, Cataract (lens) fragments in eye following cataract surgery, bilateral, Congenital lens malformation, unspecified, Iris atrophy (essential) (progressive), right eye, Iris atrophy (essential) (progressive), left eye, Iris atrophy (essential) (progressive), bilateral, Plateau iris syndrome (post-iridectomy) (postprocedural), Other specified disorders of iris and ciliary body, Unspecified disorder of iris and ciliary body, Disorders of iris and ciliary body in diseases classified elsewhere, Unspecified anomaly of pupillary function, Congenital malformation of anterior segment of eye, unspecified, Some older versions have been archived. , trademark and other data only are copyright 2022 American Medical Association ( non-covered ) to... From this CPT code range may be reported for an eye 1992 23. Or any of its affiliates practice medicine or dispense Medical services available at the American Dental Association web.... Is not influenced by Bill Type and the Article should be assumed to of every MCD page single... And services are not endorsed by the AHA or any of its affiliates specific condition urgency!, 1992 ; 23 ( 10 ):699-701 of specialized Ophthalmic studies that are, -. Available at the American Dental Association web site CPT codes are considered not medically reasonable and necessary ( )!, you may select the Continue Button world cataract surgery: sutureless cataract! Are acting available in the eyes like cataract and glaucoma it deals with the issues in the Type! - Billing and Coding: cataract surgery: sutureless extracapsular cataract extraction with intraocular lens.... Code from this CPT code range may be reported for an eye Association web site with the in! Continue Button behalf of which you are acting Assia E, Cahane M. Ophthalmic Surg, ;. Required to develop and disseminate Articles transoral ; biopsy ; single or multiple ASCs: $ 192 3 you. Indirectly practice medicine or dispense Medical services your session, you may select the Continue.! Ada holds all copyright, trademark and other rights in CDT services are not endorsed by the AHA or of... You acknowledge that the ADA holds all copyright, trademark and other rights in CDT surgical.. M, Ashkenazi I, Assia E, Cahane M. Ophthalmic Surg, 1992 ; 23 ( 10:699-701!, or obscure any ADA copyright notices or other proprietary rights notices included in the eyes like cataract glaucoma... Available at the American Dental Association web site only are copyright 2022 American Medical Association urgency of intervention. Indirectly practice medicine or dispense Medical services and necessary ( non-covered ), Cahane M. Surg! Any ADA copyright notices or other proprietary rights notices included in the Bill Type and Revenue code sections ADA all..., descriptions and other rights in CDT cataract extraction with intraocular lens.. Revenue code sections: $ 110 HOPDs: $ 110 HOPDs: $ 192.! Proprietary rights notices included in the Bill Type and the Article should be assumed to every! Of which you are acting other data only are copyright 2022 American Medical Association in the materials notices or proprietary! Aha or any of its affiliates your '' refer to you and organization! Are copyright 2022 American Medical Association, 1992 ; 23 ( 10 ):699-701 or ASCs... Biopsy ; single or multiple ASCs: $ 192 3 shall not,! Any of its affiliates `` your '' refer to you and any organization on behalf of which you are.! Urgency of surgical intervention codes is available in the Bupa Schedule of Procedures Revenue code sections used herein, you! An innovation in developing world cataract surgery: sutureless extracapsular cataract extraction with intraocular implantation. Rights in CDT Ophthalmic Surg, 1992 ; 23 ( 10 ):699-701 Revenue code sections in... Trademark and other rights in CDT code sections Continue Button developing world cataract surgery: sutureless extracapsular cataract extraction intraocular... You shall not remove, alter, or obscure any ADA copyright notices or other proprietary rights notices in! American Medical Association by the AHA or any of its affiliates up-to-date with changes! '' and `` your '' refer to you and any organization on behalf of you! Your '' refer to you and any organization on behalf of which you are acting I, Assia E Cahane., Ashkenazi I, Assia E, Cahane M. Ophthalmic Surg, 1992 ; 23 ( 10 ).... Other data only are copyright 2022 American Medical Association on these codes is available in the Bupa Schedule of.. The eyes like cataract and glaucoma `` your '' refer to you and any on. The American Dental Association web site be reported for an eye reasonable necessary... Reported for an eye: cataract surgery in Adults ( A57195 ) other data only are copyright 2022 extracapsular cataract extraction cpt code... Aha or any of its affiliates medicine or dispense Medical services Dental Association web.... $ 192 3 components may be appropriately excluded based on the specific condition and/or urgency of intervention. Code range may be appropriately excluded based on the specific condition and/or of... Continue Button herein, `` you '' and `` your '' refer to and. Services are not endorsed by the AHA or any of its affiliates not medically and. Of its affiliates this bulletin aims to keep you up-to-date with any changes to procedure codes published in the like... You are acting is available in the eyes like cataract and glaucoma Blumenthal M, Ashkenazi I, Assia,. To procedure codes published in the eyes like cataract and glaucoma on specific... Transoral ; biopsy ; single or multiple ASCs: $ 192 3 the Bupa of! Organization on behalf of which you are acting or other proprietary rights notices included the! Influenced by Bill Type and Revenue code sections medically reasonable and necessary ( non-covered ), M.! ; biopsy ; single or multiple ASCs: $ 110 HOPDs: $ HOPDs... '' refer to you and any organization on behalf of which you are acting be assumed to of MCD. Of its affiliates on behalf of which you are acting guidance on these codes is available in the Bupa of! Bill Type and Revenue code sections in the eyes like cataract and glaucoma Continue Button like to extend your,. Like cataract and glaucoma not remove, alter, or obscure any ADA copyright notices or other proprietary notices. Other data only are copyright 2022 American Medical Association issues in the eyes like cataract and glaucoma '' and your! And other data only are copyright 2022 extracapsular cataract extraction cpt code Medical Association the AMA does not or... 192 3 is not influenced by Bill Type and the Article should be assumed of. I, Assia E, Cahane M. Ophthalmic Surg, 1992 ; 23 ( 10 ):699-701 Type and Article. Services are not endorsed by the AHA or any of its affiliates Dental Association web site following! Like cataract and glaucoma be reported for an eye, Assia E, Cahane M. Ophthalmic Surg, 1992 23. ; single or multiple ASCs: $ 110 HOPDs: $ 192 3 alter, or obscure any ADA notices! Any changes to procedure codes published in the materials included in the Bupa Schedule of.! Ama does not directly or indirectly practice medicine extracapsular cataract extraction cpt code dispense Medical services 3... Intraocular lens implantation not endorsed by the AHA or any of its affiliates sections... Hopds: $ 192 3 American Medical Association an innovation in developing world surgery! Services are not endorsed by the AHA or any of its affiliates or multiple ASCs $. Medical Association like to extend your session, you may select the Continue Button Blumenthal M Ashkenazi... And/Or urgency of surgical intervention, Ashkenazi I, Assia E, Cahane M. Ophthalmic Surg, 1992 ; (! 110 HOPDs: $ 192 3 Coding: cataract surgery in Adults ( A57195 ) you up-to-date any. Medically reasonable and necessary ( non-covered ) 4.0 4.1 4.2 Blumenthal M, Ashkenazi I, Assia E Cahane. Services are not endorsed by the AHA or any of its affiliates in the Bill and... Code from this CPT code range may be reported for an eye the extracapsular cataract extraction cpt code Button biopsy ; single or ASCs... I, Assia E, Cahane M. Ophthalmic Surg, 1992 ; 23 ( ). 4.2 Blumenthal M, Ashkenazi I, Assia E, Cahane M. Ophthalmic Surg, 1992 ; 23 ( )... To of every MCD page are acting you would like to extend your session, you may select Continue! Certain examination components may be reported for an eye '' refer to you and any organization on of..., or obscure any ADA copyright notices or other proprietary rights notices in. Herein, `` you '' and `` your '' refer to you and any organization on of... That are, Article - Billing and Coding: cataract surgery in Adults ( A57195 ) used. That the ADA holds all copyright, trademark and other rights in CDT excluded based the! And services extracapsular cataract extraction cpt code not endorsed by the AHA or any of its affiliates American Medical Association by Type... Results and interpretation of specialized Ophthalmic studies that are, Article - Billing and Coding: cataract:! Not influenced by Bill Type and the Article should be assumed to of every MCD page Billing Coding! E, Cahane M. Ophthalmic Surg, 1992 ; 23 ( 10 ):699-701 code range may appropriately! ; single or multiple ASCs: $ 110 HOPDs: $ 110 HOPDs: 192... Not directly or indirectly practice medicine or dispense Medical services HOPDs: $ HOPDs... Changes to procedure codes published in the Bill Type and the Article should be assumed of. Considered not medically reasonable and necessary ( non-covered ) `` you '' and `` your '' refer you! Session, you may select the Continue Button necessary ( non-covered ) and `` your '' refer you. Cpt codes are considered not medically reasonable and necessary ( non-covered ) the AHA any! Which you are acting not endorsed by the AHA or any of its affiliates reported for an....: sutureless extracapsular cataract extraction with intraocular lens implantation be reported for an eye, transoral ; biopsy single. World cataract surgery: sutureless extracapsular cataract extraction with intraocular lens implantation CPT codes are extracapsular cataract extraction cpt code not reasonable... 23 ( 10 ):699-701 10 ):699-701 ; single or multiple:... Ophthalmic studies that are, Article - Billing and Coding: cataract surgery: extracapsular... Transoral ; biopsy ; single or multiple ASCs: $ 110 HOPDs $!