Where to Find Cataract Codes
Cataracts occur when a person's lenses become cloudy and opaque. Cataracts can affect both eyes at the same time, called bilateral cataracts. Bilateral cataracts are very common, but cataracts must occur on their own and cannot spread from one eye to the other. Therefore, the rate of cataract development in one eye may be different from that in ...
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Per the NCCI Policy Manual CPT codes describing cataract extraction (66830-66984) are mutually exclusive of one another. Only one code from this CPT code range may be reported for an eye. Therefore Medicare recovered payment for CPT code 66984.
How many different types of cataracts are there? According to ICD-10-CM, there are close to 70 — ranging from age-related to zonular cataracts.
When you submit CPT code 66982, local coverage determinations (LCDs) require more than the traditional cataract diagnosis codes. To indicate why the surgery qualifies as complex, you also must report one of the following codes:
They may occur in people of all ages, but are most common in the elderly. A disorder characterized by partial or complete opacity of the crystalline lens of one or both eyes. This results in a decrease in visual acuity and eventual blindness if untreated.
The 2022 edition of ICD-10-CM H26.9 became effective on October 1, 2021.
A condition in which the lens of the eye becomes cloudy. Symptoms include blurred, cloudy, or double vision; sensitivity to light; and difficulty seeing at night. Without treatment, cataracts can cause blindness. There are many different types and causes of cataracts.
The ICD code Q120 is used to code Cataract. A cataract is a clouding of the lens in the eye leading to a decrease in vision. It can affect one or both eyes. Often it develops slowly. Symptoms may include faded colors, blurry vision, halos around light, trouble with bright lights, and trouble seeing at night. This may result in trouble driving, ...
Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis. The Center for Medicare & Medicaid Services (CMS) requires medical coders to indicate whether or not a condition was present at the time of admission, in order to properly assign MS-DRG codes.