Ophthalmology CPT Codes in the ASC Setting
Ophthalmology is one of the highest-volume surgical specialties in ambulatory surgery centers. Cataract surgery, laser procedures, and intravitreal injections suit the outpatient setting because they are short and low-risk.
Ophthalmic surgeons use codes in the eye and ocular adnexa range, roughly 65091 through 68899, including cataract extraction with intraocular lens placement (66984, Xcapsl ctrc rmvl w/o ecp) and injection of drug into the eye (67028, Injection eye drug). Whether Medicare pays a code in an ASC depends on the CMS payment addenda: Addendum AA is the ASC Covered Procedures List, while Addendum EE lists codes excluded from ASC payment. DataLily's procedure library tracks CPT-specific prior-authorization and documentation requirements alongside this coverage status.
Ophthalmology codes(1–60 of 288)
- 66984Xcapsl ctrc rmvl w/o ecp
- 66821After cataract laser surgery
- 67028Injection eye drug
- 65091Revise eye
- 65093Revise eye with implant
- 65101Removal of eye
- 65103Remove eye/insert implant
- 65105Remove eye/attach implant
- 65110Removal of eye
- 65112Remove eye/revise socket
- 65114Remove eye/revise socket
- 65125Revise ocular implant
- 65130Insert ocular implant
- 65135Insert ocular implant
- 65140Attach ocular implant
- 65150Revise ocular implant
- 65155Reinsert ocular implant
- 65175Removal of ocular implant
- 65205Remove foreign body from eye
- 65210Remove foreign body from eye
- 65220Remove foreign body from eye
- 65222Remove foreign body from eye
- 65235Remove foreign body from eye
- 65260Remove foreign body from eye
- 65265Remove foreign body from eye
- 65270Repair of eye wound
- 65272Repair of eye wound
- 65273Repair of eye wound
- 65275Repair of eye wound
- 65280Repair of eye wound
- 65285Repair of eye wound
- 65286Repair of eye wound
- 65290Repair of eye socket wound
- 65400Removal of eye lesion
- 65410Biopsy of cornea
- 65420Removal of eye lesion
- 65426Removal of eye lesion
- 65430Corneal smear
- 65435Curette/treat cornea
- 65436Curette/treat cornea
- 65450Treatment of corneal lesion
- 65600Revision of cornea
- 65710Corneal transplant
- 65730Corneal transplant
- 65750Corneal transplant
- 65755Corneal transplant
- 65756Corneal trnspl endothelial
- 65757Prep corneal endo allograft
- 65770Keratoprosthesis
- 65772Correction of astigmatism
- 65775Correction of astigmatism
- 65778Cover eye w/membrane
- 65779Cover eye w/membrane suture
- 65780Ocular reconst transplant
- 65781Ocular reconst transplant
- 65782Ocular reconst transplant
- 65785Impltj ntrstrml crnl rng seg
- 65800Drainage of eye
- 65810Drainage of eye
- 65815Drainage of eye
Are ophthalmology procedures done in an ASC?
Yes. Ophthalmology is one of the most common specialties in the ASC setting. Cataract surgery, laser procedures such as YAG capsulotomy (66821), and intravitreal injections (67028) are routinely performed in ambulatory surgery centers because they are short and low-risk. When done in an ASC, they are billed with place of service 24, and Medicare payment depends on whether the code appears on the ASC Covered Procedures List (CMS Addendum AA).
What CPT codes does ophthalmology use?
Ophthalmic surgery codes fall in the eye and ocular adnexa range, roughly 65091 to 68899. This includes cataract extraction with intraocular lens (66984), after-cataract laser treatment (66821), eye drug injection (67028), and revision of the eye (65091). Our dataset maps 288 ASC-relevant CPT codes to this specialty, so the family is broad and you should confirm the exact code against the procedure performed.
How do I know if an ophthalmology code is covered in an ASC?
Check the code against the CMS ASC payment addenda. If it is on Addendum AA, it is on the ASC Covered Procedures List and Medicare pays it in an ASC. Addendum BB lists covered ancillary services that may be billed alongside the procedure, and Addendum EE lists codes excluded from ASC payment. Coverage status can change year to year, so verify the current addenda along with any prior-authorization and documentation requirements before the date of service.