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Official Description

Removal of foreign body or dacryolith, lacrimal passages

© Copyright 2026 American Medical Association. All rights reserved.

Common Language Description

The procedure described by CPT® Code 68530 involves the surgical removal of a foreign body or a dacryolith from the lacrimal passages, which are the ducts that drain tears from the eyes into the nasal cavity. A foreign body refers to any object that is not naturally part of the body and has inadvertently entered the lacrimal system, while a dacryolith is a specific type of foreign body that consists of a stone or concretion formed within the lacrimal system. This condition can lead to obstruction and discomfort, necessitating surgical intervention. During the procedure, a surgical incision is made over the affected lacrimal passage to access the area where the foreign body or dacryolith is located. The surgeon carefully incises the affected lacrimal structure to remove the obstruction. After the removal, the integrity of the lacrimal structure is restored by suturing the incision, ensuring proper healing and function of the lacrimal system post-procedure.

© Copyright 2026 Coding Ahead. All rights reserved.

1. Indications

The procedure is indicated for the following conditions:

  • Foreign Body in Lacrimal Passages The presence of an object that has entered the lacrimal system, causing obstruction and potential complications.
  • Dacryolith Formation The formation of a stone or concretion within the lacrimal passages, leading to blockage and associated symptoms such as pain, swelling, or discharge.

2. Procedure

The procedure consists of several key steps to ensure the effective removal of the foreign body or dacryolith:

  • Step 1: Incision An incision is made over the affected lacrimal passage to provide access to the underlying structures. This incision is strategically placed to minimize trauma to surrounding tissues while allowing the surgeon to visualize the area clearly.
  • Step 2: Localization Once the incision is made, the surgeon locates the foreign body or dacryolith within the lacrimal passage. This step is crucial as it determines the approach for removal and ensures that the obstruction is accurately identified.
  • Step 3: Removal An incision is then made into the affected lacrimal structure, allowing for the extraction of the foreign body or dacryolith. The surgeon carefully removes the obstruction, taking care to preserve the integrity of the surrounding tissues.
  • Step 4: Repair After the foreign body or dacryolith has been successfully removed, the lacrimal structure is repaired using sutures. This step is essential to restore the normal anatomy and function of the lacrimal system, promoting proper healing and preventing future complications.

3. Post-Procedure

Post-procedure care involves monitoring the patient for any signs of complications, such as infection or excessive bleeding. Patients may be advised to avoid strenuous activities and to follow specific instructions regarding eye care and hygiene. Follow-up appointments are typically scheduled to assess healing and ensure that the lacrimal system is functioning properly after the removal of the foreign body or dacryolith.

Short Descr CLEARANCE OF TEAR DUCT
Medium Descr RMVL FB/DACRYOLITH LACRIMAL PASSAGES
Long Descr Removal of foreign body or dacryolith, lacrimal passages
Status Code Active Code
Global Days 010 - Minor Procedure
PC/TC Indicator (26, TC) 0 - Physician Service Code
Multiple Procedures (51) 2 - Standard payment adjustment rules for multiple procedures apply.
Bilateral Surgery (50) 1 - 150% payment adjustment for bilateral procedures applies.
Physician Supervisions 09 - Concept does not apply.
Assistant Surgeon (80, 82) 1 - Statutory payment restriction for assistants at surgery applies to this procedure...
Co-Surgeons (62) 0 - Co-surgeons not permitted for this procedure.
Team Surgery (66) 0 - Team surgeons not permitted for this procedure.
Diagnostic Imaging Family 99 - Concept Does Not Apply
APC Status Indicator Procedure or Service, Multiple Reduction Applies
ASC Payment Indicator Office-based surgical procedure added to ASC list in CY 2008 or later with MPFS nonfacility PE RVUs; payment based on OPPS relative payment weight.
Type of Service (TOS) 2 - Surgery
Berenson-Eggers TOS (BETOS) P6C - Minor procedures - other (Medicare fee schedule)
MUE 1
CCS Clinical Classification 19 - Other therapeutic procedures on eyelids, conjunctiva, cornea
LT Left side (used to identify procedures performed on the left side of the body)
79 Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.)
RT Right side (used to identify procedures performed on the right side of the body)
50 Bilateral procedure: unless otherwise identified in the listings, bilateral procedures that are performed at the same session, should be identified by adding modifier 50 to the appropriate 5 digit code. note: this modifier should not be appended to designated "add-on" codes (see appendix d).
51 Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d).
58 Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78.
E2 Lower left, eyelid
22 Increased procedural services: when the work required to provide a service is substantially greater than typically required, it may be identified by adding modifier 22 to the usual procedure code. documentation must support the substantial additional work and the reason for the additional work (ie, increased intensity, time, technical difficulty of procedure, severity of patient's condition, physical and mental effort required). note: this modifier should not be appended to an e/m service.
59 Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25.
78 Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.)
80 Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s).
E1 Upper left, eyelid
E3 Upper right, eyelid
E4 Lower right, eyelid
GC This service has been performed in part by a resident under the direction of a teaching physician
GV Attending physician not employed or paid under arrangement by the patient's hospice provider
GW Service not related to the hospice patient's terminal condition
SG Ambulatory surgical center (asc) facility service
XS Separate structure, a service that is distinct because it was performed on a separate organ/structure
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Pre-1990 Added Code added.
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