Ophthalmic Coding Specialist Practice Test

What action is described by CPT code 66850?

1. Removal of a cataract

2. Insertion of an intraocular lens

3. Repair of a dislocated lens

4. Removal of an intralenticular body

The correct answer is: Removal of a cataract

CPT code 66850 specifically describes the procedure for the removal of a cataract through an extracapsular approach. This procedure typically involves the surgical extraction of the lens of the eye that has become opacified, or cloudy, due to cataracts, and it is generally performed when the cataract interferes with vision. The terminology in the code indicates that the lens is removed while leaving the capsule of the lens mostly intact, which is a common practice to maintain some structural support for potential future interventions, such as the insertion of an intraocular lens afterwards. While removal of a cataract is the primary action referenced by this code, it is important to note that the other options represent distinct procedures that are not covered by this specific CPT code. The insertion of an intraocular lens or the repair of a dislocated lens and removal of an intralenticular body are different surgical actions that would each correspond to different CPT codes tailored to those specific procedures. Thus, understanding that 66850 relates to cataract removal reinforces the appropriate coding practices and helps in correctly identifying surgical actions in ophthalmology.