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The CPT® Code 66930 refers to the surgical procedure for the removal of lens material through an intracapsular approach specifically for a dislocated lens. This procedure is indicated when the natural lens of the eye has become dislocated, which can occur due to trauma, disease, or other factors that compromise the stability of the lens within the eye. The process begins with an incision made at the corneoscleral junction, which is the area where the cornea meets the sclera, allowing access to the lens capsule. Once the lens capsule is exposed, a medication is injected to dissolve the zonal fibers that normally hold the lens in place, facilitating its removal. A cryoprobe is then utilized to freeze the lens, making it easier to extract. After the lens and its capsule are removed, the surgical wound is repaired with sutures, and temporary sutures may be placed through the upper and lower eyelids to keep the eye closed during the healing process. Additionally, a soft bandage or patch may be applied to protect the eye as it recovers. It is important to note that CPT® Code 66930 is specifically used for cases involving a dislocated lens, while CPT® Code 66920 is designated for intracapsular removal of lens material for other conditions.
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The procedure described by CPT® Code 66930 is indicated for the removal of lens material in cases of a dislocated lens. The following conditions may warrant this surgical intervention:
The procedure for CPT® Code 66930 involves several critical steps to ensure the successful removal of the dislocated lens material:
After the procedure, patients can expect a recovery period during which the eye will need to heal. Post-procedure care may include monitoring for any signs of complications, such as infection or excessive swelling. Patients are typically advised to avoid strenuous activities and to follow any specific instructions provided by their healthcare provider regarding eye care. The temporary sutures placed through the eyelids will be removed at a follow-up appointment, and the application of a bandage or patch may be adjusted based on the healing progress. Regular follow-up visits are essential to ensure proper recovery and to assess the outcome of the surgery.
| Short Descr | EXTRACTION OF LENS | Medium Descr | REMOVAL LENS MATRL INTRACAPSULAR DISLOCATED LENS | Long Descr | Removal of lens material; intracapsular, for dislocated lens | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 1 - 150% payment adjustment for bilateral procedures applies. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | ASC Payment Indicator | Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P4B - Eye procedure - cataract removal/lens insertion | MUE | 1 | CCS Clinical Classification | 15 - Lens and cataract procedures |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 78 | Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.) | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | GC | This service has been performed in part by a resident under the direction of a teaching physician | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
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| 2011-01-01 | Changed | Medium description changed. |
| Pre-1990 | Added | Code added. |
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