Find policies, billing codes, payers, states, and providers
CPT 68500: Lacrimal Gland Excision for Excessive Tearing
CPT code 68500 denotes surgical excision of the lacrimal gland to address excessive tearing that has produced dry eye. The procedure is an ophthalmic surgical service used when gland removal is clinically indicated to reduce epiphora and its sequelae. Nationally, this code is relevant for surgeons, hospital and ambulatory surgery centers, and payers because it implicates operative setting, post‑operative care, and ocular surface management.
Key payers considered include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the code’s clinical purpose, typical sites of service, and the payer landscape that affects coverage and billing. The publication provides benchmarks where available, notes on common billing modifiers, and context for clinical documentation tied to lacrimal gland excision. It also outlines policy considerations relevant to reimbursement coding, utilization review, and prior authorization trends for ophthalmic surgical procedures.
This summary serves clinicians, coding specialists, and revenue cycle professionals seeking a national perspective on CPT code 68500, including practical information to support accurate coding and administrative planning.
Customize your policy alerts
Sign up for cpt 68500 policy alerts
Get alerted when payer policies referencing 68500 are released or updated.
Monitor payer policy activity
Billing Code Overview
CPT code 68500 describes the surgical removal of the lacrimal gland performed to treat excessive tearing that results in dry eye. This procedure involves excision of the lacrimal gland tissue when gland dysfunction or hypersecretion contributes to symptomatic epiphora and associated ocular surface symptoms.
-
Service type: Surgical excision of lacrimal gland
-
Typical site of service: Ambulatory surgical center or hospital operating room
Data not available in the input.