JUN 24, 2020
CPT Code for Lensectomy and IOL Insertion
Question: Our retina specialist performed a lensectomy with an insertion of intraocular lens. What is the correct coding?
Answer: Additional clarification from the operative report is necessary to confirm which of the following options is best:
- When a dislocated IOL is removed and replaced, along with a pars plana vitrectomy, submit CPT codes 66986 IOL exchange and 67036 Pars plana vitrectomy.
- If the retina specialist removed remaining fragments of the natural lens, inserted an IOL and performed a pars plana vitrectomy, submit CPT codes 67036 Pars plana vitrectomy and 66985 Secondary IOL. CPT code 66850 Removal of lens material is bundled with 66985 Secondary IOL.
- If the retina specialist removed the natural lens and inserted an IOL, submit CPT code 66984 Cataract surgery with IOL
Learn more about billing multiple procedures in the Retina Coding: Complete Reference Guide.