Medicare Coding and Reimbursement Requirements Cataract Surgery / Anesthesia  

Codes studied are 66982, 66983 & 66984/ 00142
Cataract 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 Policy

Cataract 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. The patient is also eligible for surgery if his/her BCVA is 20/40 or be...
  
  

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