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cataract query

  1. Default cataract query
    Exam Training Packages
    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. Default

  3. #3
    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 03:20 AM.

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

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

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