Billing Changes for Cataract Surgery Co-Management

The team at Fraser Eye Care Center values the collaborative partnerships we share with Detroit area vision care providers. Our plan for successful patient co-management includes sharing information and updates.
In January of 2022 changes to cataract surgery with concomitant Glaucoma stent surgery went into effect and these changes have had a direct impact on the Co-management of cataract surgery, as well as Optometric payments. Please note the following important updates to billing for co-management of cataract surgery.

Details on Billing Changes for Cataract Surgery

Effective January 1st, 2022, CMS established new CPT codes for all Cataract surgeries with concomitant Glaucoma Stent Surgery (ie I-Stent, Hydrus). The CPT codes for Cataract surgery with Glaucoma Stent Surgery is CPT 66991 and Complex cataract surgery with IOL with Glaucoma Stent Surgery is CPT 66989.

CPT codes for Cataract surgery with Endoscopic cyclophotocoagulation (ECP) is CPT 66988 and Complex Cataract surgery with IOL with ECP is CPT 66987

All these codes are Co-Manageable.

Excluded from these codes are patients obtaining concomitant Cataract surgery and with Glaucoma XEN or Canaloplasty surgeries.

Fraser Eye Documentation Changes

To help all Our Co-managing doctors handle these changes, you will soon see the CPT Cataract surgery codes in our post-operative cataract notes with the proper CPT code for each patient’s corresponding surgery.

Contact Fraser Eye

We appreciate the opportunity to work with many dedicated eye care professionals in the Metro-Detroit and the entire Michigan state area. We are always here to answer questions about Co-management and patient care. Feel free to contact us with any questions.