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2025 CPT code 68840

Probing of lacrimal canaliculi, with or without irrigation.

Follow CPT guidelines for ophthalmological procedures.Appropriate modifiers should be used to indicate bilateral procedures (–50) or when performed on only one side (–RT or –LT).

Modifiers –50 (bilateral procedure), –RT (right side), and –LT (left side) may be applicable.

Medical necessity is established by symptoms consistent with lacrimal system obstruction (such as epiphora, recurrent infections, or congenital obstruction).The procedure is medically necessary to assess and treat the obstruction, improving drainage and potentially resolving symptoms.

After administering local anesthesia, the physician inserts a probe into the lacrimal canaliculi and probes. Irrigation may be performed if deemed necessary by the physician.

IMPORTANT:For removal of foreign body, see 65205 et seq. Do not report code 69990 in addition to codes 65091-68850. For diagnostic and treatment ophthalmological services, see Medicine, Ophthalmology, and 92002 et seq.

In simple words: The doctor checks the tear ducts using a small probe, and may also flush them with a fluid to clear any blockages.

This procedure involves probing the lacrimal canaliculi to assess patency and, if necessary, irrigating the canaliculi to remove obstructions.Local anesthesia is administered before a probe is inserted into the canaliculi. Irrigation may be performed depending on the physician's assessment.

Example 1: A patient presents with epiphora (excessive tearing) and a suspected blockage in the lacrimal canaliculi. The physician performs probing and irrigation to assess and address the blockage., A patient experiences recurrent infections of the lacrimal system.The physician utilizes probing and irrigation to ascertain the extent of any obstruction that may be contributing to these infections., A newborn presents with congenital nasolacrimal duct obstruction.The physician performs probing to establish drainage from the lacrimal system.

* Detailed history and physical examination documenting the indication for the procedure (e.g., epiphora, recurrent infections, congenital obstruction).* Documentation of the procedure performed, including whether irrigation was performed and the findings (e.g., patency, presence of obstruction, type of obstruction).* Post-operative notes documenting the patient's response to the procedure.

** The payment for 68840 is allowed per eye, not per lid.If bilateral probing is performed, appropriate modifiers should be used to indicate this. Carriers may reduce coverage to a unilateral payment if the indications for a bilateral procedure are not clearly documented.

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