Z98.42 is a billable diagnosis code used to specify a medical diagnosis of cataract extraction status, left eye. The code Z98.42 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
Where to Find Cataract Codes
Z36.2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2021 edition of ICD-10-CM Z36.2 became effective on October 1, 2020.
§The ICD-10-PCS (procedure code), if utilized to map the resident into a surgical clinical category, must be recorded on the second line of item I8000. PT and OT Components Major Joint Replacement or Spinal Surgery ICD-10-CM Code Description
ICD-10 code H26. 4 for Secondary cataract is a medical classification as listed by WHO under the range - Diseases of the eye and adnexa .
Z48.81ICD-10-CM Code for Encounter for surgical aftercare following surgery on specified body systems Z48. 81.
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 ...
Cataract extraction status, unspecified eye Z98. 49 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 Z98. 49 became effective on October 1, 2021.
Follow-up visits, like initial visits, should be coded using the appropriate evaluation and management (E/M) code (i.e., 99211–99215). Given the limited interaction with the patient and limited work involved, the level of service is likely to be low (e.g., 99211 or 99212).
99024 - Postoperative follow-up visit, normally included in the surgical package, to indicate that an evaluation and management service was performed during a postoperative period for a reason(s) related to the original procedure.
IOL insertion, the correct way to code the procedure is by using CPT code 66984 [Extracapsular cataract extraction removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique ( eg, irrigation and aspiration or phacoemulsification)].
ICD-10 Code for Cortical age-related cataract, right eye- H25. 011- Codify by AAPC.
A. Use CPT 65820 (Goniotomy).
ICD-10 code Z98. 890 for Other specified postprocedural states is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
ICD-10 code H25. 812 for Combined forms of age-related cataract, left eye is a medical classification as listed by WHO under the range - Diseases of the eye and adnexa .
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.
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.
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.
CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.
Title XVIII of the Social Security Act §1862 (a) (7) excludes routine physical examinations.
Documentation Requirements: The following documentation must be present in the medical chart: For Visually-Symptomatic Cataract:
Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.
Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.