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CPT 68400: Incision and Drainage of Lacrimal Gland
Headline: CPT code 68400: Incision and Drainage of the Lacrimal Gland — what the code represents and why it matters
CPT code 68400 denotes a surgical procedure for incision and drainage of the lacrimal gland. This procedure is relevant nationally for ophthalmology and oculoplastic practices managing acute lacrimal gland infections or abscesses that require operative drainage. Proper coding affects clinical documentation, site-of-service decisions, and payment adjudication across payers.
Key payers covered in this overview include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise explanation of the clinical service represented by the code, the typical settings where it is delivered, and what to expect in a national payer environment. The publication outlines benchmarks and coding context, summarizes common billing considerations, and highlights clinical circumstances that commonly prompt use of the code.
This summary equips billing and compliance staff, practice managers, and clinical leaders with clear identification of the procedure and its administrative implications. Data not available in the input is noted where applicable. The focus remains national in scope and intended to support accurate coding and administrative planning.
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Billing Code Overview
CPT code 68400 describes an incision and drainage of the lacrimal gland. The procedure involves making an incision to drain an abscess or other purulent collection within the lacrimal gland.
Service type: Minor surgical drainage procedure
Typical site of service: Ophthalmology clinic procedure room, ambulatory surgery center, or hospital outpatient setting
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