Humana`s guidelines for the claim coding and claim payment inquiry process with links to facilitate documentation and coding diagnoses and services.

If the code does not match up, one of those physicians is going to be denied, warn experts. What to do: Avoid across-the-board use of 366.10 (Senile cataract, unspecified) and retrieve the precise …

Jul 9, 2025 · CPT code 66984 refers to the surgical removal of a cataract with IOL insertion. This code covers several manual or mechanical methods, including the most frequently used phacoemulsification.

Jan 23, 2025 · Is anyone else getting denials for Medical Necessity from Medicare for 66984 LT with H25.12. I see this diagnosis is listed on the LCD Policy with WPS as a covered diagnosis.

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Example of a cataract post-op claim filed to BCBS. This claim was approved and paid by insurance! On the claim you'll have to fill out some additional information; if this is missing, your claim will likely be …

The primary diagnosis submitted by the physician performing the preoperative ophthalmologic evaluation must be cataract (ICD-10-CM codes listed in the “ICD-10 Codes that are Covered” section …

High level results and top denial/partial denial reasons are listed below for the post-payment service specific reviews for Cataract Extraction (CPT 66982-66984) services that have been conducted by …

Unlock the essentials of billing for cataract surgery with our comprehensive guide to cpt code 66984, ensuring accurate claims.

For documentation that shows a best corrected visual acuity of 20/40 or better, cataract extraction will be considered if all other criteria have been met and there is substantial documentation of the …