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0996T Ins & sclr fix caps bag prosthesis

Category III

Also known as: intraocular lens, IOL implant

Insertion and scleral fixation of capsular bag prosthesis for lens replacement. Intraocular lens implantation.

In Plain Language

Cataract lens replacement; Artificial eye lens

Clinical Context

Surgical placement and scleral fixation of intraocular lens prosthesis.

RVU Information

CPT 0996T does not have a physician work RVU assigned by CMS. Category III codes for emerging technology do not receive RVU assignments. Reimbursement is negotiated with individual payers.

Billing & Documentation

Category III codes are temporary codes for emerging technology, services, and procedures. They are not assigned RVU values by CMS. Coverage and reimbursement vary by payer — check with individual insurers before billing. These codes sunset after 5 years if not converted to Category I.

Specialties

OphthalmologyCataract Surgery

Frequently Asked Questions

What is CPT code 0996T?

CPT 0996T (Ins & sclr fix caps bag prosthesis) is a Category III code. Insertion and scleral fixation of capsular bag prosthesis for lens replacement. Intraocular lens implantation.

Is 0996T a permanent CPT code?

No — 0996T is a Category III temporary code for emerging technology. It may be converted to a permanent Category I code if widely adopted. Category III codes expire after 5 years without renewal.

When is CPT 0996T used?

Surgical placement and scleral fixation of intraocular lens prosthesis.

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.