CPT Code 66984: Cataract Surgery with Intraocular Lens Implant

CPT code 66984 is used for extracapsular cataract removal with the insertion of an intraocular lens prosthesis in a one-stage procedure. This code covers cataract surgery performed using manual or mechanical techniques such as phacoemulsification or irrigation and aspiration, where the cloudy natural lens is removed and replaced with an artificial lens to restore vision.

Extracapsular cataract removal is a surgical technique that involves removing the eye’s natural lens while leaving the posterior capsule intact to support the placement of an intraocular lens (IOL). The procedure requires a smaller incision than older methods, and may be performed via manual extraction or phacoemulsification, which uses ultrasonic energy to break up the lens for removal.

Yes, CPT 66984 (cataract extraction with IOL insertion) and CPT 65820 (goniotomy) can be billed together because they are not bundled by National Correct Coding Initiative (NCCI) edits. Billing both codes is appropriate when both procedures are medically necessary and performed during the same operative session, with documentation supporting each distinct service.