APR 06, 2015
Correct Coding Initiative Edits Effective April 1, 2015
Below are the NCCI edits that impact ophthalmology effective April 1, 2015. CPT codes in Column 2 are bundled with the CPT codes in with Column 1.
All edits have an indicator of 1, which states that the codes can be unbundled when the definition of modifier -59 or the new –X modifiers are met, which and typically means the procedures are performed in separate eyes.
| Column 1 |
Column 2 |
| 66820 Discission secondary cataract |
66030 Anterior chamber injection; medication
67028 Intravitreal injection
68200 Subconjunctival injection |
| 66821 YAG capsulotomy |
66030 Anterior chamber injection; medication
67028 Intravitreal injection
68200 Subconjunctival injection |
| 66825 Reposition IOL |
67028 Intravitreal injection
68200 Subconjunctival injection |
| 66830 Removal of secondary membrane, with corneo-scleral section, with/without iridectomy |
67028 Intravitreal injection
68200 Subconjunctival injection |
| 66840 Removal of lens material, aspiration |
66030 Anterior chamber injection; medication
67028 Intravitreal injection
68200 Subconjunctival injection |
| 66850 Removal of lens material, phaco |
66030 Anterior chamber injection; medication
67028 Intravitreal injection
68200 Subconjunctival injection |
| 66852 Removal of lens material, pars plana approach, with/without vitrectomy |
66030 Anterior chamber injection; medication
67028 Intravitreal injection
68200 Subconjunctival injection |
| 66920 Removal of lens material, intracapsular |
66030 Anterior chamber injection; medication
67028 Intravitreal injection
68200 Subconjunctival injection |
| 66930 Removal of lens material, for dislocated lens |
66030 Anterior chamber injection; medication
67028 Intravitreal injection
68200 Subconjunctival injection |
| 66940 Removal of lens material, extracapsular |
66030 Anterior chamber injection; medication
67028 Intravitreal injection
68200 Subconjunctival injection |
| 66982 Complex cataract surgery |
67028 Intravitreal injection |
| 66983 Intracapsular cataract extraction |
67028 Intravitreal injection |
| 66984 Cataract extraction with IOL |
67028 Intravitreal injection |
| 66985 Secondary IOL |
67028 Intravitreal injection |
| 66986 IOL exchange |
66030 Anterior chamber injection; medication |