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CPT 66630: Iridectomy with Radial Section for Glaucoma
CPT code 66630 describes an anterior segment ophthalmic surgical procedure in which a complete radial section of the iris is removed by creating a hole from the papillary margin to the iris root. Used in the surgical management of glaucoma, this iridectomy procedure can relieve pupillary block and improve aqueous humor outflow. Nationally, accurate coding for operative ophthalmology procedures like 66630 affects clinical documentation, surgical registries, and procedural reporting for payers and Medicare.
Key payers included in this analysis are Aetna, Blue Cross Blue Shield, Cigna, UnitedHealthcare, and Medicare. Readers will find a concise clinical context for the procedure, typical sites of service, and the scope of coding practice for an anterior segment iridectomy. The publication highlights benchmarks and coding considerations relevant to facility and professional billing, discusses common modifier usage where available, and summarizes policy and reimbursement factors that typically influence claims adjudication for operative ophthalmic services.
This summary is intended to orient clinicians, coders, and policy analysts to the clinical purpose of CPT code 66630, the expected care setting, and the areas where payers and Medicare commonly focus during review of ophthalmic surgical claims. Data not available in the input are noted where relevant.
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Billing Code Overview
CPT code 66630 describes a surgical procedure in which the provider removes a complete radial section of the iris by creating a hole from the papillary margin to the root of the iris. The procedure is performed as a treatment for glaucoma when creating an iris aperture is clinically indicated to improve aqueous outflow or relieve pupillary block.
Service type: Operative ophthalmic procedure (anterior segment surgery)
Typical site of service: Hospital operating room or ambulatory surgery center
Data not available in the input.