Dropless Cataract Surgery

Retrozonular or intravitreal 'dropless' injections of compounded antibiotics/steroids performed at the conclusion of cataract surgery are considered integral to the cataract procedure (CPT 66984/66982) and are bundled with the surgical code for both physician and facility, so they may not be billed separately to Medicare or the patient. Rare contralateral‑eye situations may permit separate reporting of CPT 67028 and drug J‑codes, but claims must use RT/LT laterality modifiers on the surgical and injection/drug lines and must not use modifier -59 or the claim will deny.

"Retrozonular or intravitreal injection of compounded antibiotics and/or steroids performed at the conclusion of cataract surgery (CPT 66984, 66982, or related codes) is considered integral to the c..."

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