CPT® Code 66982

Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification), complex, requiring devices or techniques not generally used in routine cataract surgery (eg, iris expansion device, suture support for intraocular lens, or primary posterior capsulorrhexis) or performed on patients in the amblyogenic developmental stage; without endoscopic cyclophotocoagulation

Complex extracapsular cataract removal with insertion of an intraocular lens (IOL) prosthesis is a specialized surgical procedure designed to address cataracts that present unique challenges. This one-stage operation employs either manual or mechanical techniques, such as irrigation and aspiration or phacoemulsification, to effectively remove the cataract. The term "complex" indicates that this procedure involves the use of devices or techniques that are not typically utilized in standard cataract surgeries. Such complexity is often necessary for pediatric patients, as their anatomical and developmental characteristics require additional surgical considerations, including primary posterior capsulotomy or capsulorrhexis for successful IOL insertion. In children, the anterior capsule is more challenging to open, and the cortex is more difficult to remove due to lens adhesion, which can complicate the surgery. Additionally, certain ocular conditions, such as uveitis, glaucoma, pseudoexfoliation syndrome, or Marfan syndrome, can further increase the complexity of the procedure. Patients with a history of prior intraocular surgery, trauma to the eye, or those presenting with dense, hard, white cataracts may also necessitate a more intricate surgical approach. The procedure is performed without the use of endoscopic cyclophotocoagulation, ensuring a focused approach to cataract removal and IOL placement.