CPT is a trademark of the American Medical Association (AMA). Guidance on these codes is available in the Bill type and Revenue code sections. TEPEZZA is a trademark owned by or licensed to Horizon. 2022 Horizon Therapeutics plc P-TEP-US-00805 12/22, By David B. Glasser, MD, Academy Secretary for Federal Affairs, Michael X. Repka, MD, MBA, Academy Medical Director for Governmental Affairs, and Sue Vicchrilli, COT, OCS, OCSR, Academy Director of Coding and Reimbursement, MIGS UpdateHow to Code for Combined Glaucoma Procedures, Instruction Courses and Skills Transfer Labs, Program Participant and Faculty Guidelines, LEO Continuing Education Recognition Award, What Practices Are Saying About the Registry, Provider Enrollment, Chain and Ownership System (PECOS), Subspecialty/Specialized Interest Society Directory, Subspecialty/Specialized Interest Society Meetings, Minority Ophthalmology Mentoring Campaign, Global Programs and Resources for National Societies, Dr. Richard Mills' Opinions, 2002 to 2016. for your patients with this serious, progressive disease. With Xen. Sometimes, a large group can make scrolling thru a document unwieldy. What Is The Cpt Code For Lasik Surgery? License to use CDT for any use not authorized herein must be obtained through the American Dental Association, 211 East Chicago Avenue, Chicago, IL 60611. CMS and its products and services are An asterisk (*) indicates a The following CPT codes are considered not medically reasonable and necessary (non-covered). These CPT codes are for the removal of an IOL and its replacement: 65920. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL CONTAINED ON THIS PAGE. not endorsed by the AHA or any of its affiliates. Instructions for enabling "JavaScript" can be found here. ICD-10-CM Codes that Support Medical Necessity, ICD-10-CM Codes that DO NOT Support Medical Necessity, REMOVAL OF LENS MATERIAL; ASPIRATION TECHNIQUE, 1 OR MORE STAGES, REMOVAL OF LENS MATERIAL; PHACOFRAGMENTATION TECHNIQUE (MECHANICAL OR ULTRASONIC) (EG, PHACOEMULSIFICATION), WITH ASPIRATION, REMOVAL OF LENS MATERIAL; PARS PLANA APPROACH, WITH OR WITHOUT VITRECTOMY, REMOVAL OF LENS MATERIAL; INTRACAPSULAR, FOR DISLOCATED LENS, REMOVAL OF LENS MATERIAL; EXTRACAPSULAR (OTHER THAN 66840, 66850, 66852), INTRACAPSULAR CATARACT EXTRACTION WITH INSERTION OF INTRAOCULAR LENS PROSTHESIS (1 STAGE PROCEDURE), EXTRACAPSULAR CATARACT REMOVAL WITH INSERTION OF INTRAOCULAR LENS PROSTHESIS (1 STAGE PROCEDURE), MANUAL OR MECHANICAL TECHNIQUE (EG, IRRIGATION AND ASPIRATION OR PHACOEMULSIFICATION); WITHOUT ENDOSCOPIC CYCLOPHOTOCOAGULATION, EXTRACAPSULAR CATARACT REMOVAL WITH INSERTION OF INTRAOCULAR LENS PROSTHESIS (1 STAGE PROCEDURE), MANUAL OR MECHANICAL TECHNIQUE (EG, IRRIGATION AND ASPIRATION OR PHACOEMULSIFICATION); WITH ENDOSCOPIC CYCLOPHOTOCOAGULATION, EXTRACAPSULAR CATARACT REMOVAL WITH INSERTION OF INTRAOCULAR LENS PROSTHESIS (1-STAGE PROCEDURE), MANUAL OR MECHANICAL TECHNIQUE (EG, IRRIGATION AND ASPIRATION OR PHACOEMULSIFICATION), COMPLEX, REQUIRING DEVICES OR TECHNIQUES NOT GENERALLY USED IN ROUTINE CATARACT SURGERY (EG, IRIS EXPANSION DEVICE, SUTURE SUPPORT FOR INTRAOCULAR LENS, OR PRIMARY POSTERIOR CAPSULORRHEXIS) OR PERFORMED ON PATIENTS IN THE AMBLYOGENIC DEVELOPMENTAL STAGE; WITHOUT ENDOSCOPIC CYCLOPHOTOCOAGULATION, EXTRACAPSULAR CATARACT REMOVAL WITH INSERTION OF INTRAOCULAR LENS PROSTHESIS (1-STAGE PROCEDURE), MANUAL OR MECHANICAL TECHNIQUE (EG, IRRIGATION AND ASPIRATION OR PHACOEMULSIFICATION), COMPLEX, REQUIRING DEVICES OR TECHNIQUES NOT GENERALLY USED IN ROUTINE CATARACT SURGERY (EG, IRIS EXPANSION DEVICE, SUTURE SUPPORT FOR INTRAOCULAR LENS, OR PRIMARY POSTERIOR CAPSULORRHEXIS) OR PERFORMED ON PATIENTS IN THE AMBLYOGENIC DEVELOPMENTAL STAGE; WITH ENDOSCOPIC CYCLOPHOTOCOAGULATION, Diabetes mellitus due to underlying condition with unspecified diabetic retinopathy with macular edema, Diabetes mellitus due to underlying condition with unspecified diabetic retinopathy without macular edema, Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy with macular edema, right eye, Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy with macular edema, left eye, Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy with macular edema, bilateral, Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy without macular edema, right eye, Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy without macular edema, left eye, Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy without macular edema, bilateral, Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy with macular edema, right eye, Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy with macular edema, left eye, Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy with macular edema, bilateral, Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy without macular edema, right eye, Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy without macular edema, left eye, Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy without macular edema, bilateral, Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy with macular edema, right eye, Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy with 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mellitus due to underlying condition with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye, Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral, Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy, right eye, Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy, left eye, Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy, bilateral, Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular edema, right eye, Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular edema, left eye, Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular 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diabetic retinopathy without macular edema, left eye, Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, bilateral, Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eye, Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, left eye, Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateral, Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, right eye, Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, left eye, Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral, Drug or chemical induced diabetes mellitus with severe 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bilateral, Type 2 diabetes mellitus with unspecified diabetic retinopathy with macular edema, Type 2 diabetes mellitus with unspecified diabetic retinopathy without macular edema, Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, right eye, Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eye, Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateral, Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, right eye, Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, left eye, Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, bilateral, Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eye, Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with 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Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, bilateral, Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye, Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye, Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral, Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye, Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye, Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral, Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye, Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye, Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral, Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye, Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye, Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral, Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, right eye, Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, left eye, Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, bilateral, Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eye, Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eye, Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral, Type 2 diabetes mellitus with diabetic cataract, Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, right eye, Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, left eye, Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, bilateral, Other specified diabetes mellitus with unspecified diabetic retinopathy with macular edema, Other specified diabetes mellitus with unspecified diabetic retinopathy without macular edema, Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, right eye, Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eye, Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateral, Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, right eye, Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, left eye, Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, bilateral, Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eye, Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, left eye, Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateral, Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, right eye, Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, left eye, Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral, Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye, Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye, Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateral, Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, right eye, Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, left eye, Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, bilateral, Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye, Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye, Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral, Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye, Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye, Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral, Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye, Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye, Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral, Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye, Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye, Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral, Other specified diabetes mellitus with stable proliferative diabetic retinopathy, right eye, Other specified diabetes mellitus with stable proliferative diabetic retinopathy, left eye, Other specified diabetes mellitus with stable proliferative diabetic retinopathy, bilateral, Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eye, Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eye, Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral, Other specified diabetes mellitus with diabetic cataract, Other specified diabetes mellitus with diabetic macular edema, resolved following treatment, right eye, Other specified diabetes mellitus with diabetic macular edema, resolved following treatment, left eye, Other specified diabetes mellitus with diabetic macular edema, resolved following treatment, bilateral, Anterior subcapsular polar age-related cataract, right eye, Anterior subcapsular polar age-related cataract, left eye, Anterior subcapsular polar age-related cataract, bilateral, Posterior subcapsular polar age-related cataract, right eye, Posterior subcapsular polar age-related cataract, left eye, Posterior subcapsular polar age-related cataract, bilateral, Age-related cataract, morgagnian type, right eye, Age-related cataract, morgagnian type, left eye, Age-related cataract, morgagnian type, bilateral, Combined forms of age-related cataract, right eye, Combined forms of age-related cataract, left eye, Combined forms of age-related cataract, bilateral, Unspecified infantile and juvenile cataract, right eye, Unspecified infantile and juvenile cataract, left eye, Unspecified infantile and juvenile cataract, bilateral, Infantile and juvenile cortical, lamellar, or zonular cataract, right eye, Infantile and juvenile cortical, lamellar, or zonular cataract, left eye, Infantile and juvenile cortical, lamellar, or zonular cataract, bilateral, Infantile and juvenile nuclear cataract, right eye, Infantile and juvenile nuclear cataract, left eye, Infantile and juvenile nuclear cataract, bilateral, Anterior subcapsular polar infantile and juvenile cataract, right eye, Anterior subcapsular polar infantile and juvenile cataract, left eye, Anterior subcapsular polar infantile and juvenile cataract, bilateral, Posterior subcapsular polar infantile and juvenile cataract, right eye, Posterior subcapsular polar infantile and juvenile cataract, left eye, Posterior subcapsular polar infantile and juvenile cataract, bilateral, Combined forms of infantile and juvenile cataract, right eye, Combined forms of infantile and juvenile cataract, left eye, Combined forms of infantile and juvenile cataract, bilateral, Unspecified traumatic cataract, right eye, Unspecified traumatic cataract, bilateral, Cataract with neovascularization, right eye, Cataract with neovascularization, left eye, Cataract with neovascularization, bilateral, Cataract secondary to ocular disorders (degenerative) (inflammatory), right eye, Cataract secondary to ocular disorders (degenerative) (inflammatory), left eye, Cataract secondary to ocular disorders (degenerative) (inflammatory), bilateral, Glaucomatous flecks (subcapsular), right eye, Glaucomatous flecks (subcapsular), left eye, Glaucomatous flecks (subcapsular), bilateral, Unspecified retinal detachment with retinal break, right eye, Unspecified retinal detachment with retinal break, left eye, Unspecified retinal detachment with retinal break, bilateral, Retinal detachment with single break, right eye, Retinal detachment with single break, left eye, Retinal detachment with single break, bilateral, Retinal detachment with multiple breaks, right eye, Retinal detachment with multiple breaks, left eye, Retinal detachment with multiple breaks, bilateral, Retinal detachment with giant retinal tear, right eye, Retinal detachment with giant retinal tear, left eye, Retinal detachment with giant retinal tear, bilateral, Retinal detachment with retinal dialysis, right eye, Retinal detachment with retinal dialysis, left eye, Retinal detachment with retinal dialysis, bilateral, Retinal micro-aneurysms, unspecified, right eye, Retinal micro-aneurysms, unspecified, left eye, Retinal micro-aneurysms, unspecified, bilateral, Other non-diabetic proliferative retinopathy, right eye, Other non-diabetic proliferative retinopathy, left eye, Other non-diabetic proliferative retinopathy, bilateral, Exudative age-related macular degeneration, bilateral, stage unspecified, Exudative age-related macular degeneration, bilateral, with active choroidal neovascularization, Exudative age-related macular degeneration, bilateral, with inactive choroidal neovascularization, Exudative age-related macular degeneration, bilateral, with inactive scar, Macular cyst, hole, or pseudohole, right eye, Macular cyst, hole, or pseudohole, left eye, Macular cyst, hole, or pseudohole, bilateral, Cataract (lens) fragments in eye following cataract surgery, right eye, Cataract (lens) fragments in eye following cataract surgery, left eye, Cataract (lens) fragments in eye following cataract surgery, bilateral, Congenital lens malformation, unspecified, Iris atrophy (essential) (progressive), right eye, Iris atrophy (essential) (progressive), left eye, Iris atrophy (essential) (progressive), bilateral, Plateau iris syndrome (post-iridectomy) (postprocedural), Other specified disorders of iris and ciliary body, Unspecified disorder of iris and ciliary body, Disorders of iris and ciliary body in diseases classified elsewhere, Unspecified anomaly of pupillary function, Congenital malformation of anterior segment of eye, unspecified, Some older versions have been archived.