2025 CPT code 66930
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Surgery - Removal of Lens Material Procedures of the Eye Surgery Feed
Intracapsular removal of a dislocated lens and its surrounding capsule.
Modifiers may apply depending on the circumstances of the procedure.Consult the CPT manual for a complete list of applicable modifiers.
Medical necessity for code 66930 is established by the presence of a dislocated lens causing significant visual impairment or posing a risk to the eye's health.The procedure should be deemed necessary by a qualified ophthalmologist and documented in the patient's medical record.
The ophthalmologist or other qualified eye surgeon is responsible for performing the surgical extraction of the dislocated lens and capsule.Post-operative care may be shared with other healthcare professionals.
In simple words: The doctor removes a dislocated eye lens and its surrounding membrane. This happens because of an injury or a condition like Marfan syndrome.The doctor will numb the eye, make a small cut, and use a special tool to remove the lens.Stitches are used to close the cut, and eye drops or ointment might be applied.
This procedure involves the surgical removal of a dislocated lens and its entire capsule.The dislocation may be due to trauma or a medical condition such as Marfan syndrome.The procedure typically begins with prepping and anesthetizing the patient's eye. An ocular speculum is placed to keep the eye open. An incision is made at the limbus, and a cryoprobe is introduced into the anterior chamber to freeze and adhere to the lens. The lens is then extracted along with the cryoprobe. The incision is closed with sutures, and a sterile solution may be injected to restore intraocular pressure. A pressure patch with antibiotic ointment may also be applied.
Example 1: A 25-year-old male patient presents with a dislocated lens following a traumatic eye injury.Code 66930 is used to bill for the intracapsular extraction of the lens., A 40-year-old female patient with Marfan syndrome experiences lens subluxation.Code 66930 is used for the surgical removal of the dislocated lens and capsule., A 60-year-old male patient with a history of ocular trauma undergoes surgery for removal of a dislocated lens that was previously unsuccessfully treated with other methods. Code 66930 is used for the intracapsular removal of the dislocated lens.
* Preoperative evaluation and assessment of the patient's ocular condition.* Detailed operative report outlining the surgical technique, including the use of a cryoprobe.* Postoperative examination notes, including visual acuity and intraocular pressure measurements.* Documentation supporting the medical necessity for the procedure, especially if the lens dislocation is due to a pre-existing condition.
** The use of a cryoprobe is a common technique, but other methods may be used depending on the clinical scenario.Always ensure the documentation accurately reflects the specific procedures performed.
- Revenue Code: P4B (EYE PROCEDURE - CATARACT REMOVAL/LENS INSERTION)
- RVU: This information is not available in the provided source.RVUs vary by location and payer.
- Global Days: This information is not provided in the source. Global surgical days would need to be determined based on local payer guidelines and the complexity of the procedure.
- Payment Status: Active
- Modifier TC rule: This information is not available in the provided text.Refer to the CPT manual and payer specific guidelines.
- Fee Schedule: This information is not available in the provided text.Historical fee schedules vary by payer and geographic location.
- Specialties:Ophthalmology
- Place of Service:Office, Ambulatory Surgical Center, Inpatient Hospital