66985 Insert lens prosthesis
Also known as: IOL implantation, lens prosthesis insertion
Insertion of intraocular lens prosthesis following cataract removal, including any necessary manipulation to achieve optimal positioning within the capsular bag or ciliary sulcus.
In Plain Language
artificial lens implant; replacement lens installation
Clinical Context
Performed after cataract extraction to restore vision; most common approach in modern cataract surgery; can be done primarily (during initial surgery) or secondarily (after previous cataract removal).
RVU Breakdown
| Work RVU | 9.73 |
| Total RVU | 9.73 |
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 9.73, this code ranks in the 58th percentile among Surgery codes — 1.2x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 66985?
CPT 66985 (Insert lens prosthesis) is a Surgery code. Insertion of intraocular lens prosthesis following cataract removal, including any necessary manipulation to achieve optimal positioning within the capsular bag or ciliary sulcus.
What is the wRVU value for CPT 66985?
The work RVU for CPT 66985 is 9.73. This code is primarily used by Ophthalmology. It has a 90-day global period.
When is CPT 66985 used?
Performed after cataract extraction to restore vision; most common approach in modern cataract surgery; can be done primarily (during initial surgery) or secondarily (after previous cataract removal).
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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.