How To Use CPT Code 68330

CPT 68330 describes the repair of symblepharon and conjunctivoplasty without using a graft. 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 68330?

CPT 68330 can be used to describe a procedure in which a provider repairs symblepharon and performs conjunctivoplasty without using a graft. This code is used when scar tissue or adhesions between the palpebral and bulbar conjunctivae need to be freed or excised, and fibrotic tissue is dissected away from the healthy conjunctiva. The healthy conjunctiva is then advanced and secured with sutures.

2. Official Description

The official description of CPT code 68330 is: ‘Repair of symblepharon; conjunctivoplasty, without graft.’

3. Procedure

1. The provider preps and anesthetizes the patient.
2. The provider frees or excises scar tissue or adhesions between the palpebral and bulbar conjunctivae.
3. The provider dissects fibrotic tissue away from the healthy conjunctiva.
4. The provider advances and secures the healthy conjunctiva with sutures.

4. Qualifying circumstances

Patients eligible to receive CPT 68330 services are those with symblepharon and conjunctivoplasty needs that do not require the use of a graft. The provider must assess the patient’s condition and determine the appropriate course of treatment. The procedure is typically performed on patients with adhesions between the palpebral and bulbar conjunctivae, and fibrotic tissue that needs to be dissected away from the healthy conjunctiva.

5. When to use CPT code 68330

CPT code 68330 should be used when a provider performs a repair of symblepharon and conjunctivoplasty without using a graft. It is important to note that if a graft is used during the procedure, a different code should be reported.

6. Documentation requirements

To support a claim for CPT 68330, the provider must document the following information:

• Patient’s diagnosis and the need for repair of symblepharon and conjunctivoplasty
• Details of the procedure performed, including the freeing or excision of scar tissue or adhesions, dissection of fibrotic tissue, and advancement and securing of healthy conjunctiva
• Date of the procedure
• Signature of the provider performing the service

7. Billing guidelines

When billing for CPT 68330, ensure that the procedure meets the criteria for repair of symblepharon and conjunctivoplasty without using a graft. It is important to accurately document the procedure and include the necessary supporting documentation. If a graft is used during the procedure, a different code should be reported.

8. Historical information

CPT 68330 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 provider performs a repair of symblepharon and conjunctivoplasty without using a graft on a patient with adhesions between the palpebral and bulbar conjunctivae.
2. A patient undergoes a procedure in which scar tissue and fibrotic tissue are excised, and the healthy conjunctiva is advanced and secured with sutures.
3. A provider performs a repair of symblepharon and conjunctivoplasty without using a graft on a patient with a history of conjunctival adhesions.
4. A patient with symblepharon undergoes a procedure in which the provider frees the scar tissue and dissects the fibrotic tissue away from the healthy conjunctiva.
5. A provider repairs symblepharon and performs conjunctivoplasty without using a graft on a patient with a history of ocular trauma.
6. A patient undergoes a procedure in which the provider excises adhesions between the palpebral and bulbar conjunctivae and advances the healthy conjunctiva.
7. A provider performs a repair of symblepharon and conjunctivoplasty without using a graft on a patient with a history of chronic conjunctivitis.
8. A patient with symblepharon undergoes a procedure in which the provider dissects fibrotic tissue away from the healthy conjunctiva and secures it with sutures.
9. A provider repairs symblepharon and performs conjunctivoplasty without using a graft on a patient with a history of ocular surface disease.
10. A patient undergoes a procedure in which the provider frees scar tissue between the palpebral and bulbar conjunctivae and advances the healthy conjunctiva.