A rare but important complication of cataract surgery is the retention of lens fragments. This occurs following phacoemulsification when small fragments of the lens remain in the anterior or posterior chambers, within the lens capsular bag, or in the vitreous.
Cataract surgery coded as complex (CPT code 66982) was the factor associated most significantly with reoperation for a retained lens fragment, being 2.6 times more likely compared with standard cataract surgery (CPT code 66984). Current Procedural Terminology code 66982 includes the use of iris expansion devices.
When cataract pieces (or lens fragments) remain in the eye after surgery, a severe inflammatory reaction can occur that may cause high pressure in the eye, swelling in the center of the retina and cornea, and even potentially permanent visual loss.
Z98. 4 - Cataract extraction status. ICD-10-CM.
66982: Cataract surgery with insertion of intraocular lens, complex. 66983: Cataract surgery, intracapsular, with insertion of intraocular lens. 66984: Cataract surgery, extracapsular, with insertion of intraocular lens.
Intraocular Lens ProceduresCPT® 66985, Under Intraocular Lens Procedures The Current Procedural Terminology (CPT®) code 66985 as maintained by American Medical Association, is a medical procedural code under the range - Intraocular Lens Procedures.
Having floaters after cataract surgery is actually a fairly common problem. If you've had cataract surgery, and see what look like specks of dust or like spider webs that often move or “float” in the direction you look, you most likely have them.
Cystoid Macular Edema CME is the most frequent complication after an uncomplicated cataract surgery.
Many people complain that they feel like there is sand in the eye or that the eye feels scratchy after surgery. This is a normal sensation caused by the small incision in your eye, and it should heal within a week or so. If you have dry eye, the discomfort may last longer—up to three months.
ICD-10 code Z98. 42 for Cataract extraction status, left eye is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
CPT defines the code 66982 as: "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 ...
Unspecified age-related cataract H25. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM H25. 9 became effective on October 1, 2021.
Retained lens material, also called retained lens fragments, occurs in approximately 1 percent of phacoemulsification cases. Patients who have this complication can develop pain, corne-al edema, exaggerated or prolonged intraocular inflammation, secondary glaucoma, CME and retinal detachment.
Removal of Lens Material Procedures of the EyeCPT® 66840, Under Removal of Lens Material Procedures of the Eye. The Current Procedural Terminology (CPT®) code 66840 as maintained by American Medical Association, is a medical procedural code under the range - Removal of Lens Material Procedures of the Eye.
66984—Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (e.g., irrigation and aspiration or phacoemulsification); without endoscopic cyclophotocoagulation. Many of the nasal/sinus endoscopy codes were modified slightly.
CPT code 65800 is used for the anterior chamber washout.