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What is the CPT code 66821?

What is the CPT code 66821?

CPT® Code 66821 in section: Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid)

Does CPT 66821 require a modifier?

So unless you are in the global period for the original cataract surgery the 66821 doesn’t need a modifier, if you are within the global period then you would add the 78 on the 66821.

What happens during a YAG procedure?

The doctor uses a special laser, called a YAG laser, to make an opening in your posterior capsule. This opening lets light pass through the clouded capsule. The light then goes to the nerve layer in the back of your eye (retina). Light must reach your retina for you to see well.

Is YAG laser covered by insurance?

Medicare covers 80 percent of the costs of YAG laser capsulotomy after you pay your Medicare Part B deductible. YAG laser capsulotomy procedures are typically done in a hospital outpatient department or an ambulatory surgical center. This is why Medicare Part B medical insurance rules apply to the procedure.

How much does YAG laser capsulotomy cost?

YAG laser capsulotomy cost The national average cost of a posterior capsulotomy is $2,376, though that number can vary greatly depending on several factors, including where the procedure is done and what health insurance you have.

How long is a YAG Post op period?

The Current Procedural Terminology (CPT) code for the YAG capsulotomy procedure is 66821 with a 90-day global follow-up period.

What is the CPT code for iridotomy by laser?

66761 Iridotomy/iridectomy by laser surgery (eg, for glaucoma) (per session) [when specified as laser peripheral iridotomy]
ICD-10 Procedure
085C3ZZ Destruction of right iris, percutaneous approach
085D3ZZ Destruction of left iris, percutaneous approach

How long does it take to recover from YAG surgery?

You may resume all normal activities right away after your YAG laser procedure. It is common for people who have had this procedure to see floaters in their field of vision for up to a few weeks. This normally resolves on its own, but please contact New Vision Eye Center if it does not.

Is YAG laser treatment painful?

The procedure is painless. The patient sits behind the YAG laser and moves their eyes as directed by the physician. Generally, each affected eye is treated with about 50 laser pulses. This is one of the few eye procedures after which you can drive yourself home from the appointment if you do not have an alternative.

How expensive is YAG laser surgery?

How Much Does a YAG Laser Surgery Cost? On MDsave, the cost of a YAG Laser Surgery ranges from $1,399 to $1,730. Those on high deductible health plans or without insurance can save when they buy their procedure upfront through MDsave.

How long does it take for vision to improve after YAG laser?

New Glasses YAG capsulotomy generally does not alter your glasses prescription, but if you are due for an eye test you can see your optometrist for refraction (glasses check) around 4-5 weeks after YAG capsulotomy.

Can I drive myself home after YAG procedure?

What does the medical code 66821 mean?

Questions about Medicare rules for YAG laser capsulotomy (CPT 66821) still come up. Here are some that practices ask about the most. This article answers the following questions: What are the indications for YAG laser capsulotomy? What documentation is required in the medical record? What about repeat YAG procedures?

How to Bill 66821?

[Box 24d] Procedure or CPT code 66821, 55 modifier, surgery eye (RT or LT) [Box 24g] Number of global billing units—usually 1 (Medicare prefers # of units vs. # of days) • If you are sending claims to insurance carriers other than Medicare, check with them first for billing instructions, as they may vary. PCLI’s Hotline for Billing Questions

What is Current Procedural Terminology (CPT) code?

What are current procedural terminology codes? Current Procedural Terminology (CPT) is a medical code set that is used to report medical, surgical, and diagnostic procedures and services to entities such as physicians, health insurance companies and accreditation organizations.

What does Medical Service code 64721 CPT stand for?

64721 – CPT® Code in category: Neuroplasty and/or transposition. CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. CPT code information is copyright by the AMA. Access to this feature is available in the following products: