CPT code 68420 represents a surgical incision of the lacrimal sac (tear duct) to treat narrowing or obstruction that can cause dry eye and related symptoms. Nationally, procedures that restore lacrimal drainage are clinically important because they address persistent epiphora, recurrent infections, and quality-of-life impacts tied to tear drainage dysfunction. The code captures a focused, site-specific intervention commonly performed by ophthalmic plastic surgeons and otolaryngologists.

Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The publication outlines coverage patterns, common billing modifiers, and where available, reimbursement benchmarks used by these major payers. It also situates the procedure in clinical context: indications, typical settings, and how this code fits into surgical care pathways for lacrimal obstruction.

Readers will learn the clinical definition and typical sites of service for CPT code 68420, which payers are included in the analysis, and what components of billing and policy are relevant for this procedure. Data not available in the input is noted where applicable, and the piece focuses on national-level implications for coding and clinical billing practices.