Home » Categories » CPT Surgery/APC Coding

Can Opener Capsulotomy for Cataract Extraction


Question

Patient comes in to have cataract surgery PHACOEMULSIFICATION left eye with insertion of Alxon Posterior Chamber intoaocular lens.  An addendum was dictated saying the capsularhexis was begun but could not be completed so it had to be converted to a can opener capsulotmy; however the nucleus was removed without difficulty and some peripheral cortical remnants were left because of the can opener capsulotomy but the lens was inserted into the capsular bag and appeared well stabilized. Would this be coded the same as a regualr cataract procedure using cpt 66984 or should this be coded a different way?

Answer

The procedure is still a cataract extraction with lens implant.  The only other choice would be to use the complex code 66982 but the surgeon does not describe the procedure as complex and does not describe any of the components of the complex code.  There is a good resource on our website about the complex code 66982.  You can find it by doing a search using "66982" as the keyword.

Disclaimer: All articles intended for general guidance only and not as a recommendation for a specific situation. Readers should consult an official source (AHA, AMA, etc.) or a qualified attorney for specific legal guidance.
Attachments Attachments
There are no attachments for this article.
Related Articles RSS Feed
Excision Breast Tissue
Viewed 4880 times since Fri, Mar 25, 2011
Apligraf Application CPT Coding
Viewed 4693 times since Tue, Oct 11, 2011
TAP (Transverse abdominus plane) Nerve Block
Viewed 10238 times since Mon, Mar 21, 2011
Dislocation Reduction of Tarsometatarsal
Viewed 2219 times since Tue, Dec 21, 2010
CPT Coding
Viewed 160 times since Fri, Aug 19, 2011
Total Hip Arthroplasty After Closed Reduction with Percutaneous Pinning
Viewed 3383 times since Thu, May 5, 2011
EGD with Dilation
Viewed 32650 times since Thu, Jun 21, 2012
Screening vs. Diagnostic Colonoscopy
Viewed 4327 times since Wed, Jul 27, 2011
Venous Access Device
Viewed 1680 times since Wed, Dec 26, 2012
Flap Closure
Viewed 4692 times since Tue, Jan 31, 2012
Quorum Health Resources, LLC :: 105 Continental Place Brentwood, TN 37027 :: Phone: (615) 371-4506