2025 CPT code 66825
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Eye and Ocular Adnexa Surgery Feed
Repositioning of an intraocular lens prosthesis requiring an incision (separate procedure).
Modifiers 59, 78, and 79 may be applicable depending on the circumstances, as detailed in the alternate codes note.Other modifiers may apply depending on the specific situation.
Medical necessity is established by the presence of symptoms or visual impairment directly attributable to the misplacement or malposition of an IOL. Documentation should support the need for surgical intervention to restore vision and prevent further complications.Documentation should show how a repositioned IOL corrects the vision problem.
The ophthalmologist or a qualified surgeon performs this procedure. Responsibilities include proper patient preparation, surgical technique to reposition the IOL, appropriate wound closure, and postoperative care instructions.
In simple words: The doctor adjusts an artificial lens already inside the eye. This requires a small cut to access and move the lens, making sure the eye pressure stays normal. The doctor uses special tools, closes the cut, and gives antibiotic drops and an eye patch.
This CPT code, 66825, describes the surgical repositioning of an already implanted intraocular lens (IOL) prosthesis.The procedure necessitates an incision to access and adjust the IOL, ensuring the intraocular pressure remains stable.The surgeon typically uses an ocular speculum to open the eyelid, makes corneal incisions, injects a viscoelastic substance into the anterior chamber, and uses specialized instruments to carefully reposition the IOL without damaging its attachments.The incision is then closed with sutures, and topical antibiotics and an eye patch are applied.
Example 1: A patient presents with a dislocated IOL following cataract surgery. The surgeon performs an incisional procedure to reposition the IOL., A patient experiences blurry vision due to an IOL that has shifted slightly from its original position after cataract surgery (separate procedure long after global period). An incisional repositioning is performed., During cataract surgery, the surgeon accidentally damages the IOL, necessitating an immediate repositioning using this procedure, along with the planned cataract surgery.
Detailed preoperative and postoperative evaluations of visual acuity and intraocular pressure.Surgical notes should document the incision location and technique, the method of IOL repositioning, the materials used (viscoelastic), and closure details. Intraoperative images or videos are beneficial.
** This procedure is typically performed under sterile conditions in an operating room or ophthalmic surgery suite.The choice of incision site and surgical technique depends on the location and nature of the IOL malposition.Postoperative care usually involves regular follow-up visits to monitor for complications such as infection, inflammation, or increased intraocular pressure.
- Revenue Code: P4E (EYE PROCEDURE - OTHER)
- RVU: Information not available in provided text.Consult current relative value unit (RVU) data from CMS for accurate reimbursement information.
- Global Days: The global period is dependent on the payer and may vary.If performed during the postoperative period of a related procedure, modifier 78 or 79 may apply.
- Payment Status: Active
- Modifier TC rule: Not applicable.The code describes a complete procedure and doesn't have separate technical and professional components.
- Fee Schedule: Information not available. Consult historical fee schedule data for specific years.
- Specialties:Ophthalmology
- Place of Service:Ambulatory Surgical Center, Outpatient Hospital, Office-based surgery center