How To Use CPT Code 68110

CPT 68110 describes the excision of a lesion on the conjunctiva up to 1 cm in size. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 68110?

CPT 68110 is used to describe the excision of a lesion on the conjunctiva that measures up to 1 cm in size. This procedure is performed to alleviate pain, pressure, and improve vision for the patient.

2. Official Description

The official description of CPT code 68110 is: ‘Excision of lesion, conjunctiva; up to 1 cm.’

3. Procedure

1. During this procedure, the healthcare provider examines the eye using a lid speculum and places a traction suture to the nasal limbus.
2. A corneal light shield is used to prevent phototoxicity.
3. The provider marks the conjunctival lesion using a fine tip marker, leaving a margin of approximately 3 to 4 mm.
4. The lesion, measuring up to 1 cm, is excised by the provider.
5. If necessary, the incision is sutured by the provider.

4. Qualifying circumstances

CPT 68110 is performed when there is a lesion on the conjunctiva that needs to be excised. The size of the lesion should be up to 1 cm. This procedure is typically done to alleviate pain, pressure, and improve vision for the patient.

5. When to use CPT code 68110

CPT code 68110 should be used when a healthcare provider performs the excision of a conjunctival lesion that measures up to 1 cm in size. It is important to accurately measure the size of the lesion to ensure proper coding.

6. Documentation requirements

To support a claim for CPT 68110, the healthcare provider must document the following information:

• Patient’s diagnosis and the need for the excision of the conjunctival lesion
• Size of the lesion, up to 1 cm
• Date of the procedure
• Details of the procedure, including any additional steps taken
• Any complications or follow-up care required
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 68110, ensure that the excision is performed on a conjunctival lesion measuring up to 1 cm. It is important to accurately measure the size of the lesion to ensure proper coding. Report CPT code 68115 if the lesion measures over 1 cm. It is also important to differentiate between an excision and a biopsy, as CPT code 68100 should be used for conjunctival biopsies.

8. Historical information

CPT 68110 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates to the code since its addition.

9. Examples

1. A healthcare provider performs the excision of a conjunctival lesion measuring up to 1 cm to alleviate pain and improve vision for the patient.
2. During the procedure, the provider examines the eye, marks the lesion, and excises it, ensuring a margin of approximately 3 to 4 mm.
3. The incision is sutured if necessary, and the patient is provided with appropriate post-operative care instructions.
4. Another healthcare provider performs the excision of a conjunctival lesion measuring up to 1 cm, addressing the patient’s discomfort and visual impairment.
5. The procedure is performed using a lid speculum, traction suture, and corneal light shield to ensure patient safety.
6. The lesion is excised, and the incision is sutured to promote proper healing.
7. A different healthcare provider performs the excision of a conjunctival lesion measuring up to 1 cm, aiming to relieve the patient’s pain and improve their vision.
8. The procedure is carefully documented, including the size of the lesion, the steps taken during the excision, and any additional care required.
9. Another patient undergoes the excision of a conjunctival lesion measuring up to 1 cm, with the healthcare provider ensuring proper anesthesia and aseptic technique.
10. The lesion is excised, and the patient is provided with post-operative instructions for optimal recovery.