iStent Surgery โ€“ Billing & Coding

iStent

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


๐Ÿ”น What is iStent?

A tiny implant that:

  • Improves fluid drainage
  • Reduces intraocular pressure

๐Ÿ”น CPT Codes

  • 0191T โ€“ iStent insertion (initial)
  • 0376T โ€“ Each additional stent

๐Ÿ‘‰ These are Category III codes (temporary/tracking codes)


๐Ÿ”น When Performed

Often combined with:

  • Cataract surgery (66984)

๐Ÿ”น Billing Considerations

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

๐Ÿ”น Common Denials

  • Non-covered procedure

Missing documentation

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