The following Q&A comes from the Centers for Medicare & Medicaid Services website.
Q: What codes should hospitals, ambulatory surgery centers and physicians use to report astigmatism-correcting intraocular lenses (A-C IOLs) or procedures and services related to an A-C IOL?
CMS: No new codes are being established at this time to identify an A-C IOL or procedures and services related to an A-C IOL, and hospitals, ASCs and physicians should report one of the following CPT codes to bill Medicare for removal of a cataract with IOL insertion:
• CPT Code 66982 – 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., iris expansion device, suture support for intraocular lens, or primary posterior capsulorrhexis) or performed on patients in the amblyogenic development stage,
• CPT Code 66983 – Intracapsular cataract extraction with insertion of intraocular lens prosthesis (one stage procedure), or
• CPT Code 66984 – Extracapsular cataract removal with insertion of intraocular lens prosthesis (one stage procedure), manual or mechanical technique (e.g., irrigation and aspiration or phacoemulsification).
Reference: http://www.cms.hhs.gov/mlnmattersarticles/downloads/MM5527.pdf; http://www.cms.hhs.gov/transmittals/downloads/R1228CP.pdf
Source: CMS
Read more ASC coding guidance:
- Guidance for Properly Reporting Modifier -33
- 17 Steps to Take When a Payor Changes Payment System From Medicare-Grouper to APC-Based
- 2011 CPT Changes to the Integumentary System