66989 Xcpsl cataract removal complex insj 1+
Also known as: complex cataract with IOL, ECCE with complex lens insertion
Extracapsular cataract removal with implantation of complex intraocular lens prosthesis for one or more additional features or corrections beyond standard lens implant.
In Plain Language
cataract removal with specialized lens; complex lens implant after cataract extraction
Clinical Context
Used for complicated cataracts requiring specialized IOL options such as aspheric lenses, piggyback lenses, accommodating lenses, or toric lenses for astigmatism correction.
RVU Breakdown
| Work RVU | 11.83 |
| Total RVU | 11.83 |
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 11.83, this code ranks in the 64th 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 66989?
CPT 66989 (Xcpsl cataract removal complex insj 1+) is a Surgery code. Extracapsular cataract removal with implantation of complex intraocular lens prosthesis for one or more additional features or corrections beyond standard lens implant.
What is the wRVU value for CPT 66989?
The work RVU for CPT 66989 is 11.83. This code is primarily used by Ophthalmology, Refractive Surgery. It has a 90-day global period.
When is CPT 66989 used?
Used for complicated cataracts requiring specialized IOL options such as aspheric lenses, piggyback lenses, accommodating lenses, or toric lenses for astigmatism correction.
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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.