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Ophthalmology and Optometry Coding Alert

Reader Question:

Locate Dislocated Lens Dx Codes for IOL Insertion

Published on Tue Aug 03, 2004

Question: What diagnosis codes can we report for procedure code 66985? Delaware Subscriber Answer: 66985 (Insertion of intraocular lens prosthesis [secondary implant], not associated with concurrent cataract removal) may be performed for a dislocated lens. A few diagnosis codes that may support performance of this surgical procedure are as follows: 379.33 -- Anterior dislocation of lens
379.34 -- Posterior dislocation of lens
743.36 -- Anomalies of lens shape (microphakia, spherophakia)
996.53 -- Mechanical complications of other specified prosthetic device, implant and graft; due to ocular lens prosthesis. Note: You may also need to append modifier -58 (Staged or related procedure or service by the same physician during the postoperative period) to the CPT code as required by your carrier. Check with your local carrier for billing policies. -- Advice for You Be the Coder and Reader Questions provided by Maggie M. Mac, CMM, CPC, health management consultant and national seminar leader for McVey Associates; and Raequell Duran, president of Practice Solutions, Santa Barbara, Calif.
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