Cataract Surgery Coding โ€“ 66984 vs 66982 vs 66986 + Goniotomy

Surgery

Understanding cataract codes is crucial for high-value claims.


๐Ÿ”น CPT 66984 โ€“ Standard Cataract Surgery

  • Routine cataract removal + IOL
  • Most commonly billed

๐Ÿ”น CPT 66982 โ€“ Complex Cataract

Used when:

  • Small pupil
  • Dense cataract
  • Requires devices (iris ring, hooks)

๐Ÿ”น CPT 66986 โ€“ IOL Exchange

  • Removal/replacement of lens implant

๐Ÿ”น Goniotomy (65820)

  • Glaucoma procedure
  • Often combined with cataract surgery

๐Ÿ”น Billing Tips

  • Use modifier -59 or -XU when appropriate
  • Documentation must support complexity
Share: