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CPT 68505: Partial Lacrimal Gland Excision for Excessive Tearing
CPT code 68505 denotes a surgical ophthalmologic procedure involving partial excision of the lacrimal gland to address excessive tearing that contributes to dry eye. This procedure is clinically significant because it directly alters tear production and is used when conservative therapies fail, affecting both vision comfort and ocular surface health. Nationally, the code is relevant to specialty ophthalmic practices and facilities that manage complex tear disorders.
Key payers reviewed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of clinical context, typical sites of service, and the common billing modifiers associated with the procedure. The publication summarizes benchmark payment patterns, coverage considerations, and coding nuances that affect claim adjudication and facility reporting.
This summary provides clinicians, billing professionals, and policy analysts with a concise reference on how CPT code 68505 is used, where the service is typically performed, and what aspects of the service drive coding and payment variability. Data not available in the input will be identified in relevant sections of the full publication.
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Billing Code Overview
CPT code 68505 describes a surgical procedure in which the provider removes a portion of the lacrimal gland to reduce excessive tearing (epiphora) that results in dry eye. The procedure is an operative ophthalmologic service aimed at modifying tear production by partial excision of the lacrimal gland.
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Service type: Surgical, ophthalmic lacrimal gland procedure
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Typical site of service: Ambulatory surgical center or hospital outpatient department