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New 66989/66991 Vision Codes


There were a number of questions during the March coding and documentation webinar regarding the Ohio Medicaid facility claims for CPT code 66989 and 66991 at the physician fee schedule not the ASC fee schedule. 

We were able to discuss this issue with Ohio Department of Medicaid (ODM) staff. They confirmed that these codes were added to the CPT/HCPCS Level II Update and they will be incorporated into the next filing of the Medicaid payment rule. Since ODM is in the process of implementing a new billing system, there is a current freeze on system updates and changes. Their best estimate on a timeline is 1/1/2023. These surgical procedures were added to the physician, advanced practice registered nurse, and physician assistant contracts. Typically surgery codes are not added to vision contracts.


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