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Wiki CPT 68815

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Svail7

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Anchorage, AK
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I was hoping for clarification before actually doing the procedure. She’s had a regular Dilation and Irrigation in the past with one of our doctors, but it didn’t last. This time I’d like to do the D&I again, but add in a flow control punctual plug at the same time.



The CPT definition was for D&I with a tube or stent, but I wasn’t sure if the flow control plug qualified for

that definition. Technically it is a plug with a tube in it, so I think it meets the definition. And I wouldn’t want to do the procedures on different days if I didn’t have to.
 
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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 01/01/22. Also use this code for the removal.

The 68815 must be tube or stent and if a transluminal balloon dilation is performed with the insertion of tube or stent then code 68816.
Have a good day!
 
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