daniel
True Blue
Hello: New to Cataract coding, the provider wants CPT 66982. I don't see it, can you point out what supports this code if this supported by the documentation.
Postoperative Diagnosis: Nuclear Sclerotic and Cortical Cataract right Eye
Procedure: Phacoemulsification with posterior chamber lens implantation
Anesthesia - Local
Surgical Wound Classification: Clean
Indication for surgery: Loss of vision due to cataract
PROCEDURE: In the preop area one drop of Alcaine was given to the operative eye. With the patient in the sitting position, I marked the nasal, temporal, superior, and inferior limbus with a marking pen. Once the patient was brought into the operating room, one drop of Alcaine and 5% Povidone-Iodine were placed into the conjunctival cul-de-sac of the operative eye. The patient was prepped and draped in sterile fashion. An eyelid speculum was placed. 1% lidocaine drops were applied to the cornea. Using a Mendez gauge and a marking pen, I marked the steep meridian of the cornea which was 170 degrees.
A corneal paracentesis was placed and 0.25cc of 1% lidocaine non-preserved was injected into the anterior chamber. Viscoelastic was installed into the anterior chamber to deepen it. A 2.4 mm corneal incision was made temporally and the anterior chamber was entered.
A continuous curvilinear capsulorrhexis was performed using a bent cystotome needle and capsulorrhexis forceps. Hydrodissection of the lens nucleus was done using BSS. A phacoemulsification tip was introduced, and the lens was removed via phacoemulsification. Residual cortex was removed from the capsular bag with the irrigation/aspiration tip. Viscoelastic was installed into the anterior chamber to deepen it. The posterior capsule was polished. Then a 22.0 diopter posterior chamber lens model ETA Bausch and Lomb intraocular lens was inserted into the capsular bag. The lens was then rotated so that the hash marks on the IOL were parallel to the 170 degree meridian. Viscoelastic was removed from the anterior chamber using the irrigation/aspiration tip.
The wound was hydrated and found to be self-sealing. The eyelid speculum was removed. One drop of Timoptic 0.5% was placed into the conjunctival cul-de-sac, and the patient was taken to the Short Stay unit in stable condition.
Postoperative Diagnosis: Nuclear Sclerotic and Cortical Cataract right Eye
Procedure: Phacoemulsification with posterior chamber lens implantation
Anesthesia - Local
Surgical Wound Classification: Clean
Indication for surgery: Loss of vision due to cataract
PROCEDURE: In the preop area one drop of Alcaine was given to the operative eye. With the patient in the sitting position, I marked the nasal, temporal, superior, and inferior limbus with a marking pen. Once the patient was brought into the operating room, one drop of Alcaine and 5% Povidone-Iodine were placed into the conjunctival cul-de-sac of the operative eye. The patient was prepped and draped in sterile fashion. An eyelid speculum was placed. 1% lidocaine drops were applied to the cornea. Using a Mendez gauge and a marking pen, I marked the steep meridian of the cornea which was 170 degrees.
A corneal paracentesis was placed and 0.25cc of 1% lidocaine non-preserved was injected into the anterior chamber. Viscoelastic was installed into the anterior chamber to deepen it. A 2.4 mm corneal incision was made temporally and the anterior chamber was entered.
A continuous curvilinear capsulorrhexis was performed using a bent cystotome needle and capsulorrhexis forceps. Hydrodissection of the lens nucleus was done using BSS. A phacoemulsification tip was introduced, and the lens was removed via phacoemulsification. Residual cortex was removed from the capsular bag with the irrigation/aspiration tip. Viscoelastic was installed into the anterior chamber to deepen it. The posterior capsule was polished. Then a 22.0 diopter posterior chamber lens model ETA Bausch and Lomb intraocular lens was inserted into the capsular bag. The lens was then rotated so that the hash marks on the IOL were parallel to the 170 degree meridian. Viscoelastic was removed from the anterior chamber using the irrigation/aspiration tip.
The wound was hydrated and found to be self-sealing. The eyelid speculum was removed. One drop of Timoptic 0.5% was placed into the conjunctival cul-de-sac, and the patient was taken to the Short Stay unit in stable condition.
