Cataract Surgery Coding – 66984 vs 66982 vs 66986 + Goniotomy

Surgery

Understanding cataract codes is crucial for high-value claims.


🔹 CPT 66984 – Standard Cataract Surgery

  • Routine cataract removal + IOL
  • Most commonly billed

🔹 CPT 66982 – Complex Cataract

Used when:

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

🔹 CPT 66986 – IOL Exchange

  • Removal/replacement of lens implant

🔹 Goniotomy (65820)

  • Glaucoma procedure
  • Often combined with cataract surgery

🔹 Billing Tips

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