66991 Extracapsular cataract removal insj 1+
Also known as: ICCE with IOL, intracapsular cataract extraction with lens
Intracapsular cataract removal with implantation of one or more intraocular lens prostheses, where the entire lens including capsule is removed and replaced with artificial lens.
In Plain Language
full lens removal with artificial replacement; complete cataract surgery with lens implant
Clinical Context
Largely historical; used when zonules are compromised or in cases where intracapsular approach is beneficial; modern phacoemulsification has replaced most ICCE procedures.
RVU Breakdown
| Work RVU | 9.00 |
| Total RVU | 9.00 |
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 9.00, this code ranks in the 55th percentile among Surgery codes — 1.1x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 66991?
CPT 66991 (Extracapsular cataract removal insj 1+) is a Surgery code. Intracapsular cataract removal with implantation of one or more intraocular lens prostheses, where the entire lens including capsule is removed and replaced with artificial lens.
What is the wRVU value for CPT 66991?
The work RVU for CPT 66991 is 9.00. This code is primarily used by Ophthalmology. It has a 90-day global period.
When is CPT 66991 used?
Largely historical; used when zonules are compromised or in cases where intracapsular approach is beneficial; modern phacoemulsification has replaced most ICCE procedures.
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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.