iStent Surgery – Billing & Coding

iStent

iStent is a minimally invasive glaucoma surgery (MIGS) procedure.


🔹 What is iStent?

A tiny implant that:

  • Improves fluid drainage
  • Reduces intraocular pressure

🔹 CPT Codes

  • 0191T – iStent insertion (initial)
  • 0376T – Each additional stent

👉 These are Category III codes (temporary/tracking codes)


🔹 When Performed

Often combined with:

  • Cataract surgery (66984)

🔹 Billing Considerations

  • Some payers consider it investigational
  • Documentation must support:
    • Glaucoma diagnosis
    • Medical necessity

🔹 Common Denials

  • Non-covered procedure

Missing documentation

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