Wiki IOL implant for anisometropia

[CVelez]

I was looking for a CPT code for IOL implant left eye for anisometropia. Surgeon's office is billing 66984, but the patient does not have a cataract. I was looking at 66850, but really not sure. Anyone familiar with this?

 

[Edmundo]

Hi @CVelez,

Great question!

CPT 66985 - Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal

In this context, 66985 is appropriate for anisometropia management when the primary purpose of the procedure is to correct refractive imbalance between the eyes, regardless of the presence of a cataract. The code covers secondary IOL insertion as a standalone procedure, making it suitable for cases like anisometropia correction.

Thanks,

Edmundo Gonzalez, CPC, COPC, OCS

 

[CVelez]

Hi @CVelez,

Great question!

CPT 66985 - Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal

In this context, 66985 is appropriate for anisometropia management when the primary purpose of the procedure is to correct refractive imbalance between the eyes, regardless of the presence of a cataract. The code covers secondary IOL insertion as a standalone procedure, making it suitable for cases like anisometropia correction.

Thanks,

Edmundo Gonzalez, CPC, COPC, OCST

 

[CVelez]

Hi

Just wanted to make sure because she has never had an implant in that eye, and it states secondary. She had a traumatic cataract surgery for the other eye.