How To Use CPT Code 68705

CPT 68705 describes the procedure of correcting an everted punctum using cautery. This article will cover the official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 68705?

CPT 68705 is used to describe the correction of an everted punctum using cautery. This procedure is performed to treat excessive tearing that leads to dry eye and to prevent further complications. The provider applies cautery just below the punctum, causing the conjunctiva to shrink and correct the position of the outwardly turned punctum. A probe is placed in the canaliculus to ensure the integrity of the lacrimal system. The patient is then released after a brief period of observation.

2. Official Description

The official description of CPT code 68705 is: ‘Correction of everted punctum, cautery.’

3. Procedure

1. The patient is appropriately prepped and anesthetized.
2. The provider applies cautery just below the punctum to correct the position of the everted punctum.
3. A probe is placed in the canaliculus to ensure the integrity of the lacrimal system.
4. The provider removes the probe and releases the patient after a brief period of observation.

4. Qualifying circumstances

CPT 68705 is performed to correct an everted punctum, which is an outwardly turned opening at the inner corner of the eye where tears drain before entering the canaliculi. This procedure is indicated for patients experiencing excessive tearing that results in dry eye and to prevent further complications. It is important to note that the patient must be appropriately prepped and anesthetized, and the provider must ensure the integrity of the lacrimal system by placing a probe in the canaliculus.

5. When to use CPT code 68705

CPT code 68705 should be used when a provider performs the correction of an everted punctum using cautery. It is important to ensure that the procedure is medically necessary and meets the specific criteria for this code. This code should not be used for other procedures or conditions unrelated to the correction of an everted punctum.

6. Documentation requirements

To support a claim for CPT 68705, the provider must document the following information:

• Patient’s diagnosis and the need for correction of an everted punctum
• Details of the procedure performed, including the use of cautery and placement of a probe in the canaliculus
• Date and duration of the procedure
• Any complications or observations during the procedure
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 68705, ensure that the procedure meets the specific criteria for this code. It is important to use the appropriate code based on the specific procedure performed. CPT code 68705 should not be reported with other codes unless medically necessary and supported by documentation. It is important to follow the specific guidelines provided by the payer and ensure accurate and complete documentation to support the claim.

8. Historical information

CPT 68705 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 patient presents with excessive tearing and dry eye. The provider performs the correction of an everted punctum using cautery.
2. An individual has an outwardly turned punctum causing discomfort and tearing. The provider uses cautery to correct the position of the punctum.
3. A patient experiences recurrent tearing due to an everted punctum. The provider performs the procedure of correcting the punctum using cautery.
4. An individual has a chronically everted punctum leading to dry eye symptoms. The provider uses cautery to correct the position of the punctum and alleviate the symptoms.
5. A patient presents with tearing and discomfort caused by an everted punctum. The provider performs the correction using cautery to improve the patient’s condition.
6. An outwardly turned punctum is causing excessive tearing and discomfort for a patient. The provider uses cautery to correct the position of the punctum and alleviate the symptoms.
7. A patient has an everted punctum resulting in dry eye symptoms. The provider performs the correction using cautery to improve the patient’s tear drainage.
8. An individual experiences tearing and discomfort due to an outwardly turned punctum. The provider uses cautery to correct the position of the punctum and alleviate the symptoms.
9. A patient presents with excessive tearing and discomfort caused by an everted punctum. The provider performs the correction using cautery to improve the patient’s tear drainage and alleviate the symptoms.
10. An outwardly turned punctum is causing tearing and discomfort for a patient. The provider uses cautery to correct the position of the punctum and improve the patient’s condition.