louise Posted Thu 16th of January, 2020 06:23:07 AM
PPV with lensectomy , Endolaser secondary intraocular lens placement. Coded as 66850 and 66985. Please advise.
SuperCoder Answered Fri 17th of January, 2020 03:16:51 AM
Thank you for your question:
CPT codes 66850 for PPV with lensectomy, and CPT 66985 for endolaser secondary intraocular lens placement is correct coding. However, most retina surgeons and their billers instinctively want to use 66852 because “pars plana approach” is incorporated into the description. Using code 66852 will result in denials of the code when coding combination vitrectomy surgeries because it is bundled with the vitrectomy codes.
CPT code 66852 was developed for primary cataract extraction using a pars plana approach wherein incidental vitreous may be removed but a core or complete vitrectomy is not performed.
Feel free to ask for any further query.