CPT^® 68761, Under Repair Procedures on the Lacrimal System

The Current Procedural Terminology (CPT^®) code 68761 as maintained by American Medical Association, is a medical procedural code under the range - Repair Procedures on the Lacrimal System.

Additional/Related Information

Tabs

Summary

The provider places a plug to close off the lacrimal punctum and block excessive drainage of tears. He performs this procedure to treat dry eye syndrome.

For clinical responsibility, terminology, tips and additional info
start codify free trial.

View any code changes for 2026 as well as historical information on code creation and revision.

Crosswalks

Tabs

MODIFIERS
ICD-10-CM

Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT® code.

View the CPT® code's corresponding procedural code and DRG. In a click, check the DRG's IPPS allowable, length of stay, and more. To plug inpatient facility revenue drains, subscribe to DRG Coder today.

Crosswalk to an anesthesia code and its base units, and calculate payments in a snap! Subscribe to Anesthesia Coder today.

View matching HCPCS Level II codes and their definitions.

Forum

Have a question about CPT Code 68761 ? Start a discussion here

CPT 68815

Hello, The plug code would be 68761 per plug this code includes the D&I If inserting a drug eluting implant for IO pressure in the lacrimal canaliculus would be the 68841 this is new code for 01/01/2... [ Read More ]

68761 reporting to Medicare

We seem to have confusion on the proper way to submit procedure 68761 when done on the same eye for both upper and lower. In the past Medicare has told us to use modifier 50 with the E1 (upper LT lid... [ Read More ]

billing 65778 and 68761

Good Afternoon, Has anyone been paid for both procedures, 65778 and 68761 done on the same day? Thanks Colleen... [ Read More ]

Under what circumstance, cpt 68760 or 68761 with modifier 50 is used.

Under what circumstances cpt code 68760 and 68761 with modifier 50 is used, even not only bilateral lower lids, but also bilateral upper lids. This is pertains to medicare reimbursement.... [ Read More ]

Punctal Plug billing

Dr placed punctum plugs (68761) in patient on 11/1/16. She returned 11/16 as Rt was bothering her. Dr replaced with smaller plug. Can I bill this visit on 11/16/16 as 68761 since the post op period is... [ Read More ]

Punctum plug

You should bill it at follows: 68761 - E2 on one line 68761 - E4 - 51 on another line Tom Cheezum, O.D., CPC... [ Read More ]

Lacrimal Punctum, by Plug

CPT Description states: 68761 - Closure of the lacrimal punctum, by plug, each. Physician inserted 2 plugs, E2 and E4, LLL and RLL - We billed 68761 E4,E2 with 2 units in the quantity. Highmark Blue... [ Read More ]

E & M Codes for the office visit for Optometry

[b]More Info on E&M Optometry Codes[/b] Optometric Procedure Codes Surgical Procedures Procedure Code Modifier Description 65125 Modification of Ocular Implant (e.g., Drilling Receptacle fo... [ Read More ]

Ophthalmology Coding Question

Hi Cathy, Per CPT Assistant January 2007 page 28 Coding Communication: Surgery: Eye and Ocular Adnexa "No modifier to be appended because the two services, although both are reported with code 687... [ Read More ]

Ophthalmology Coding Question

I have an Ophthalmologists who has a patient with two left eye lower lid punctums. Both are patent and both needed to be occluded with silicone plugs. How would you bill say Medicare for this? 68761... [ Read More ]

View All