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Understand the billing methods for different types of lenses

Ambulatory Surgery Coding & Reimbursement Insider, October 1, 2008

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Billing for lenses when patients have cataract surgery is generally straightforward. Coders most commonly assign CPT code 66984 to report a basic cataract surgery. The national Medicare physician payment for CPT code 66984 is $626.15, which includes the cost for the standard monofocal lens (typically $150). However, coders often fail to recognize the difference between the various lenses and don’t make the necessary distinction between what is truly a new-technology intraocular lens (NTIOL) and what is considered a two-aspect or refractive-correcting lens.

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