66986 Exchange lens prosthesis
Also known as: IOL exchange, lens exchange, IOL repositioning
Exchange of an existing intraocular lens prosthesis for a new intraocular lens prosthesis, including manipulation and repositioning of lens elements.
In Plain Language
replacement of artificial lens; artificial lens exchange
Clinical Context
Used when patient's vision goals change, incorrect lens power implanted, or original lens becomes decentered or damaged; occurs weeks to years after initial implantation.
RVU Breakdown
| Work RVU | 11.95 |
| Total RVU | 11.95 |
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 11.95, this code ranks in the 65th percentile among Surgery codes — 1.5x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 66986?
CPT 66986 (Exchange lens prosthesis) is a Surgery code. Exchange of an existing intraocular lens prosthesis for a new intraocular lens prosthesis, including manipulation and repositioning of lens elements.
What is the wRVU value for CPT 66986?
The work RVU for CPT 66986 is 11.95. This code is primarily used by Ophthalmology. It has a 90-day global period.
When is CPT 66986 used?
Used when patient's vision goals change, incorrect lens power implanted, or original lens becomes decentered or damaged; occurs weeks to years after initial implantation.
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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.