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  • Posted by Paula K Turner 4 months ago. There are 5 posts. The latest reply is from .
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  1. Operation: Phacoemulsification with foldable acrylic lens implantation, left eye.

    Complication: Haptic dislocation from optic of intraocular lens necessitating removal of intraocular lens with a brand new intraocular lens.

    The surgeon had folded the lens, placed the cartridge into the inserter and then through inserter, the haptic was sheared off from the optic and this was noticed as the lens was delivered into the eye.
    The haptic was removed from the eye with smooth forceps. The incision was enlarged to approximately 4 to 5 mm and using a 0.12 forceps. The edge of the optic was grasped and it was cut in half with Vannas scissors and each half was removed through the incision. A new 20 adapter lens was again placed into the cartridge by the surgeon. The cartridge was then placed into the inserter and the inserter was used to deliver the lens in the eye. This time the haptics were in proper position and the lens centered itself nicely within the eye. Since there was iris prolapse, the iris was swept back into the eye and using 10-0 nylon, 2 10-0 Nylon sutures were placed to secure the wound that was used to introduce the lens into the eye.

    I was looking at CPT code 66982? Thank you for your help.

  2. I forgot to add what diagnosis code I was going to use 234.0

  3. I put the diagnosis code on the wrong coding question. So sorry about that, bad week.

  4. Any advice on the procedure code?

  5. CPT 66982 includes "cataract removal", i.e., removal of "natural" lens. But here, the patient's condition necessitated "Removal of IOLs". That means the patient had cataract removal earlier and this is a secondary implant, so justifying CPT 66985

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