BC Advantage - 2008 Issue 3

Medicare Coding and Reimbursement Requirements Cataract Surgery / Anesthesia

Codes studied are 66982, 66983 & 66984/ 00142Cataract surgery is a common procedure in Ophthalmic practice, but associated coding, and reimbursement issues are hardly routine. As new technologies are introduced and regulations change from year to year, we can't assume that established documentation and billing procedures are adequate or up-to-date. In this article, we will review current reimbursement criteria and procedures approved  by Medicare. Medicare Coverage PolicyCataract surgery policies typically include: Diagnosis. Objective evidence must show the cataract is present and impairs the patient's vision. Poor vision. The patient's Snellen best-corrected visual acuity (BCVA) must be 20/50 or worse...

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