icd 9 code for extracapsular cataract extraction

by Prof. Elwin Bauch II 6 min read

13.41 Phacoemulsification and aspiration of cataract - ICD-9-CM Vol.

What is the CPT code for extracapsular cataract extraction?

CPT® defines the code 66982 as: "Extracapsular cataract 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., ...

What is extracapsular cataract extraction?

Modern cataract surgery, also known as extracapsular cataract extraction (ECCE), involves removing a circular anterior portion of the lens capsule, breaking up and removing the fiber mass it contains, and placing a synthetic lens implant (intraocular lens: IOL) into the remaining capsular bag (Figure 31.1).

What is the difference between intracapsular and extracapsular cataract extraction?

Though rarely used nowadays, Intracapsular Cataract surgery requires an even larger incision as compared to Extracapsular surgery, through which the entire lens with surrounding capsule is removed. The IOL (intraocular lens) is placed in a different location, in front of the iris, in this surgical procedure.

What is the CPT code for intracapsular lens extraction?

Group 1CodeDescription66920REMOVAL OF LENS MATERIAL; INTRACAPSULAR66930REMOVAL OF LENS MATERIAL; INTRACAPSULAR, FOR DISLOCATED LENS66940REMOVAL OF LENS MATERIAL; EXTRACAPSULAR (OTHER THAN 66840, 66850, 66852)66983INTRACAPSULAR CATARACT EXTRACTION WITH INSERTION OF INTRAOCULAR LENS PROSTHESIS (1 STAGE PROCEDURE)5 more rows

What is the difference between CPT code 66982 and 66984?

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.

What are the two types of cataract extraction?

According to the American Optometric Association, there are two types of cataract surgery: small incision cataract surgery and extracapsular surgery.

What is the difference between ECCE and ICCE?

The interval between surgery and death was unknown in most cases. ICCE = intracapsular cataract extraction; ECCE-D = extracapsular cat- aract extraction with surgical discission; ECCE-CI = extracapsular cataract extraction with posterior capsule preserved intact. Fig I. Complications involving cataract wounds.

What does CPT code 66984 mean?

66984. 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.

What are three types of cataract surgery?

3 Main Types of Lens Implants for Cataract SurgeryMonofocal lens. These are the standard types of IOL implants used for patients who are having cataract removal. ... Toric lens. Toric lens are designed to correct the for nearsightedness with astigmatism or farsightedness with astigmatism. ... Multifocal and Accommodating lenses.

What is the ICD 10 code for cataract surgery?

Z98. 4 - Cataract extraction status. ICD-10-CM.

What is procedure code V2632?

Cataract Surgery Procedure CodesCodeDescriptor66984Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure) manual or mechanical technique (e.g., irrigation and aspiration or phacoemulsification)V2632*Posterior chamber intraocular lens11 more rows•Oct 4, 2019

What is procedure code 92136?

CPT code 92136: ophthalmic biometry by partial coherence interferometry with intraocular lens power calculation.

What are the 3 types of cataract surgery?

3 Main Types of Lens Implants for Cataract SurgeryMonofocal lens. These are the standard types of IOL implants used for patients who are having cataract removal. ... Toric lens. Toric lens are designed to correct the for nearsightedness with astigmatism or farsightedness with astigmatism. ... Multifocal and Accommodating lenses.

Which method is best for cataract surgery?

Laser-assisted cataract surgery is the latest and most advanced method of performing cataract surgery. And many ophthalmologists prefer laser cataract surgery over traditional cataract surgery as a pre-treatment to “soften” cataracts.

What is PC IOL?

Background: Extracapsular cataract extraction (ECCE) with a posterior chamber intraocular lens (PC IOL) is the preferred method of cataract surgery in developed countries. However, intracapsular cataract extraction (ICCE) with an anterior chamber lens (AC IOL) may be appropriate in rural Africa.

What are the 3 types of cataracts?

There are three primary types of cataracts: nuclear sclerotic, cortical and posterior subcapsular.Nuclear Sclerotic Cataracts. ... Cortical Cataracts. ... Posterior Subcapsular Cataracts.

What is cataract removal?

Cataract removal is also indicated when the lens opacity inhibits optimal management of posterior segment disease or the lens causes inflammation (phakolysis, phakoanaphylaxis), angle closure, or medically unmanageable open-angle glaucoma.

Does Medicare cover cataracts?

When the only diagnosis is cataract (s), Medicare does not cover testing other than one comprehensive eye examination (or a combination of brief/intermediate examinations not to exceed the charge of a comprehensive examination) plus an appropriate ultrasound scan.

General Information

CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

CMS National Coverage Policy

Title XVIII of the Social Security Act §1862 (a) (7) excludes routine physical examinations.

Article Guidance

Documentation Requirements: The following documentation must be present in the medical chart: For Visually-Symptomatic Cataract:

Bill Type Codes

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.

Revenue Codes

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.

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