When a facility bills for cataract surgery (66984) it includes placement of a standard IOL. If the patient elects a premium IOL, they pay a portion of the upgraded lens price to the surgeon's office and a portion to the hospital. Our admin is questioning, should the hospital be reducing the surgery 66984 or the price of the premium IOL by an allowance for the standard IOL (say $150), since the patient is paying for a premium IOL. I say no because the work of the 66984 with lens placement is still the same. Our admin says the hospital should be reducing the cost of either 66984 or the premium IOL by the $150. Has anyone encountered this? Is there any documentation or experience that addresses the pricing of a standard IOL and how it breaks down on 66984? I hope that made sense.