Coding Intracapsular Cataract Extraction, in Brief

Coding Intracapsular Cataract Extraction, in Brief

During an intracapsular cataract extraction (ICCE), the entire natural lens and capsule that holds it in place are removed. Code 66983 Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure) includes ICCE and the insertion of the lens prosthesis. During an extracapsular cataract extraction (ECCE), the natural lens is removed, leaving in place the back of the capsule that holds the lens in place. The procedure is reported 66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification).

For a complex ECCE, which involves devices and techniques not used in routine ECCE, report 66982 Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification), complex, requiring devices or techniques not generally used in routine cataract surgery (eg, iris expansion device, suture support for intraocular lens, or primary posterior capsulorrhexis) or performed on patients in the amblyogenic developmental stage. Both ECCE procedures include the insertion of the lens prosthesis.

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John Verhovshek

John Verhovshek

John Verhovshek, MA, CPC, is Managing Editor at AAPC. He has covered medical coding and billing, healthcare policy, and the business of medicine since 1999. He is an alumnus of York College of Pennsylvania and Clemson University, and a member of the Asheville-Hendersonville AAPC Local Chapter.
John Verhovshek

About Has 406 Posts

John Verhovshek, MA, CPC, is Managing Editor at AAPC. He has covered medical coding and billing, healthcare policy, and the business of medicine since 1999. He is an alumnus of York College of Pennsylvania and Clemson University, and a member of the Asheville-Hendersonville AAPC Local Chapter.

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