AAPC - Back to school
Results 1 to 7 of 7

Thread: cataract query

  1. #1

    Default cataract query

    AAPC: Back to School
    scheduled as phacoemulsification w/ IOL

    Op note:

    LRI x1 and intracapsular cataract extraction with NO IOL

    "The endonucleus was then grasped with a phacoemulsifier and with aspiration, this was removed. The zonules had completely loosened and the entire bag dislocated and removed in toto. No IOL was implanted"

    66920 or 66930??? New for me....ASC


  2. #2



  3. #3
    Join Date
    Apr 2007
    Martinez California Chapter

    Default Re: Cataract query

    I would use 66920 if the lens was dislocated intraoperatively. If it was already dislocated before the case began, use 66930. From the information given, there was no phacofragmentation performed. If the vitreous prolapsed, a partial anterior vitrectomy can be coded in addition. The Limbal Relaxing Incision is a non-covered service, and should be prepaid by the patient.
    Debra, COT, OCS (currently training for CPC).
    Last edited by milde; 02-10-2012 at 02:20 AM.

  4. #4


    The OP quoted that the lens was grabbed with a phacoemulsifier and with aspiration.
    You don't think the 66850 fits? The 66920 is for intracapsular cataracts and the 66930 is for a dislocated lens. This patient's whole bag just fell (I think). I don't have the OP's note on this page for reference as I'm typing.

  5. #5
    Join Date
    Apr 2007
    Martinez California Chapter

    Default Reply

    In the final analysis, we would probably need the entire OP to make a definitive decision. In the documentation that was noted, the provider states it is an intracapsular procedure.

    "LRI x1 and intracapsular cataract extraction with NO IOL"

  6. #6


    LOLLL, you're right. That line does say that about intracap. Selective vision on my part I guess. Thanks.

  7. #7


    did end up billing 66920...thanks!!!!

Similar Threads

  1. Billing query
    By michelledeaton@yahoo.com in forum Billing/Reimbursement
    Replies: 0
    Last Post: 02-20-2014, 11:30 AM
  2. Icd query
    By Michaelarjunan in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 12-28-2013, 04:40 AM
  3. Query the Dr?
    By melmontgomery in forum Emergency Department
    Replies: 1
    Last Post: 07-24-2012, 01:09 PM
  4. To Query or Not to Query
    By Jacoder in forum Diagnosis Coding
    Replies: 6
    Last Post: 03-01-2012, 01:27 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.