Ophthalmic Coding Specialist Practice Test

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What does CPT code 66920 specify?

  1. Extracapsular lens removal

  2. Intracapsular lens removal

  3. Phacoemulsification with aspiration

  4. Pars plana approach

The correct answer is: Intracapsular lens removal

CPT code 66920 specifically refers to the procedure of extracapsular cataract removal with insertion of an intraocular lens (IOL). This code is used when the natural lens of the eye is surgically removed and replaced with a synthetic lens. Extracapsular means that the lens is removed while the front part of the lens capsule, which supports the IOL, is left intact. Choosing this code indicates that a specific method of cataract removal is used—one that involves removing the cataract while preserving some structures of the eye, allowing for a smoother recovery and better visual outcomes with the new lens. It is also important to note that this code assumes insertion of the IOL along with the surgery. Understanding this coding is essential in ophthalmic practice, not only for accurate billing and reimbursement but also to reflect the specifics of the medical services provided. The other options represent different procedures or techniques that do not align with the capabilities and purposes defined by CPT code 66920.

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