How To Use CPT Code 66930

CPT 66930 describes the procedure for the removal of lens material, specifically the entire capsule that surrounds it, in cases where the lens has become dislocated. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 66930?

CPT 66930 can be used to describe the removal of lens material, specifically the entire capsule, in cases where the lens has become dislocated. This procedure is typically performed by a healthcare provider when the patient has experienced trauma or has a medical condition such as Marfan’s syndrome.

2. Official Description

The official description of CPT code 66930 is: ‘Removal of lens material; intracapsular, for dislocated lens.’

3. Procedure

1. The healthcare provider begins by placing an ocular speculum in the patient’s eye to keep it open during the procedure.
2. An incision is made at the limbus, which is the junction of the cornea and the sclera.
3. A needle with a cryoprobe is introduced into the anterior chamber of the eye.
4. The lens is frozen to the tip of the cryoprobe and adheres to it.
5. The lens, along with the cryoprobe, is then removed from the eye.
6. The incision is closed using sutures, and a sterile solution may be injected into the eye to restore pressure.
7. A pressure patch with an antibiotic ointment may also be applied.

4. Qualifying circumstances

CPT 66930 is performed when there is a partial or complete dislocation of the lens, which may occur due to trauma or conditions such as Marfan’s syndrome. The procedure involves the removal of the entire lens along with the surrounding capsule.

5. When to use CPT code 66930

CPT code 66930 should be used when a healthcare provider performs the removal of lens material, specifically the entire capsule, for a dislocated lens. It is important to ensure that the patient meets the qualifying circumstances for this procedure.

6. Documentation requirements

To support a claim for CPT 66930, the healthcare provider must document the following information:

• Patient’s diagnosis and the need for the removal of lens material
• Details of the procedure, including the incision, use of cryoprobe, and closure of the incision
• Date of the procedure
• Any additional procedures or interventions performed
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 66930, ensure that the procedure meets the criteria for this code. It is important to follow the specific guidelines for reporting this code and to consider any additional codes that may be necessary based on the specific circumstances of the procedure.

8. Historical information

CPT 66930 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates to the code since its addition.

9. Examples

1. A healthcare provider performs the removal of lens material, including the entire capsule, for a patient who has experienced trauma resulting in a dislocated lens.
2. In a case of Marfan’s syndrome, a healthcare provider removes the lens and its surrounding capsule due to a complete dislocation.
3. During a surgical procedure, a healthcare provider removes the lens material and the entire capsule for a patient with a partially dislocated lens.
4. A healthcare provider performs the removal of lens material, including the entire capsule, for a patient with a dislocated lens caused by a medical condition.
5. In a case of severe trauma to the eye, a healthcare provider removes the lens and its surrounding capsule due to a complete dislocation.
6. During a surgical procedure, a healthcare provider removes the lens material and the entire capsule for a patient with a partially dislocated lens.
7. A healthcare provider performs the removal of lens material, including the entire capsule, for a patient with a dislocated lens caused by a medical condition.
8. In a case of severe trauma to the eye, a healthcare provider removes the lens and its surrounding capsule due to a complete dislocation.
9. During a surgical procedure, a healthcare provider removes the lens material and the entire capsule for a patient with a partially dislocated lens.
10. A healthcare provider performs the removal of lens material, including the entire capsule, for a patient with a dislocated lens caused by a medical condition.