66180 is with a reservoir and 0192T is without reservoir. In researching these on the internet, I found some sites say to use 66180 whether a reservoir is used or not and some say not to and use 0192T(even some of the Medicare carriers are different in which code they accept!). Medicare does reimburse on the 0192T and that is what I use if the aqueous shunt is done without the reservoir.
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