2025 CPT code 68371
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Eye and Ocular Adnexa Surgery Feed
Harvesting conjunctival allograft from a living donor.
Modifiers may be applicable depending on the circumstances of the procedure (e.g., -26 for professional component only, -50 for bilateral procedure, -51 for multiple procedures). Refer to the CPT codebook for guidance.
Medical necessity will be determined by the patient's condition and the need for a conjunctival allograft for reconstruction or treatment. Payer guidelines and medical necessity criteria should be followed.
The ophthalmologist or qualified surgeon is responsible for all aspects of the procedure, from prepping the donor, harvesting the graft, preserving it, and closing the donor site. Post-operative care is also included.
In simple words: This code describes the process of taking a piece of eye tissue (conjunctiva) from a living person to be used as a transplant for another person.
This CPT code 68371 represents the surgical procedure of harvesting a conjunctival allograft from a living donor.The procedure involves preparing the donor's eye, marking the donor site, injecting a solution to elevate the conjunctiva, incising and dissecting the tissue to remove the graft, preserving the graft in a suitable solution, and closing the donor site with sutures. Postoperative care includes antibiotic and steroid application.
Example 1: A patient requires a conjunctival allograft for the treatment of severe dry eye disease.A healthy donor is identified, and code 68371 is used to bill for the harvesting of the conjunctival tissue., A patient needs a conjunctival allograft due to significant damage from a chemical burn. The surgeon harvests the graft from a living related donor.Code 68371 is applied to bill for the procedure., During a reconstructive surgery, a conjunctival allograft is needed.The surgical team harvests the tissue from a living unrelated donor using code 68371.The transplantation procedure is billed separately.
* Thorough documentation of the donor's medical history and ophthalmic examination.* Detailed description of the surgical technique employed.* Precise measurements and location of the harvested graft.* Type and volume of preservative solution used.* Documentation of postoperative care and donor's recovery.* Consent form from the donor.
** This code only covers the harvesting of the conjunctival allograft and does not include the implantation or any other surgical procedures related to the transplant recipient.Those would need to be billed separately with their corresponding codes.
- Revenue Code: P4E (EYE PROCEDURE - OTHER)
- RVU: The relative value units and reimbursement rates will vary depending on location, payer, and other factors.Check with your specific payer for current rates.
- Global Days: Information on global surgical days is not specified for this code.Refer to payer-specific guidelines.
- Payment Status: Active
- Modifier TC rule: Modifier -TC (Technical Component) may be applicable if the technical component of the procedure is billed separately from the professional component.
- Fee Schedule: In 2004, a typical allowable amount was $362.92. This amount is historical and does not reflect current reimbursement rates.Check with your payer for current fee schedules.
- Specialties:Ophthalmology
- Place of Service:Ambulatory Surgical Center, Hospital Outpatient, Office