66820 Incision secondary cataract
Also known as: Nd-YAG capsulotomy, YAG capsulotomy, posterior capsule opening
Incision of posterior capsule; laser surgery (Nd-YAG).
In Plain Language
using laser to open cloudy membrane behind lens
Clinical Context
Nd-YAG laser incision of posterior capsule for posterior capsular opacification. Most common approach.
RVU Breakdown
| Work RVU | 3.91 |
| Total RVU | 3.91 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 3.91, this code ranks in the 27th percentile among Surgery codes — 2.0x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 66820?
CPT 66820 (Incision secondary cataract) is a Surgery code. Incision of posterior capsule; laser surgery (Nd-YAG).
What is the wRVU value for CPT 66820?
The work RVU for CPT 66820 is 3.91. This code is primarily used by cataract surgery, laser surgery. It has a 90-day global period.
When is CPT 66820 used?
Nd-YAG laser incision of posterior capsule for posterior capsular opacification. Most common approach.
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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.