• IOL Exchange for Unhappy Patient


    Question: The patient had cataract surgery, and everything turned out perfectly. Unfortunately, the patient is not happy and now wants uncorrected near vision, not remembering all the discussion preoperatively that took place regarding our targeted PO refractive endpoint. Do we bill insurance when we achieved our goal, however unsatisfied the patient?

    Answer: You can submit CPT code 66986 Exchange of intraocular lens, with modifier -78 plus either -RT or -LT if within the global period. Report ICD-10 code T85.29XA other mechanical complication of intraocular lens, initial encounter. 

    Learn more about surgeries in Ophthalmic Coding: Learn to Code Cataract and Anterior Segment.