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CPT code for removal of PC IOL

Chery Posted Tue 21st of January, 2014 11:05:18 AM

CPT and modifier codes for removal of PC IOL performed with PPV for recurring retinal detachment

SuperCoder Answered Mon 27th of January, 2014 10:17:11 AM

The correct codes would be 67036 (pars plana vitrectomy) + 67121-51-59 (removal of implanted material posterior segment)+ 66850 (lensectomy) + 66985-51-59 (secondary insertion of IOL).

TIP: Modifier 59 is used here to break the National Correct Coding Initiative bundles. This modifier usage has been under OIG scrutiny for some time now and should only be used in carefully selected instances.

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