Find policies, billing codes, payers, states, and providers
CPT 68840: Probing of Lacrimal Canaliculi with or without Irrigation
Headline: CPT code 68840: Probing of the lacrimal canaliculi — brief procedure overview
Lead: CPT code 68840 covers the probing of the lacrimal canaliculi, a brief ophthalmic procedure used to diagnose or relieve obstructions in the tear drainage system. The code is relevant nationally for ophthalmology, otolaryngology, and related outpatient procedural workflows because it denotes a discrete, commonly billed intervention for epiphora (excess tearing) and canalicular obstruction.
CPT code 68840 represents a focused minor surgical procedure to probe and optionally irrigate the lacrimal canaliculi. It matters nationally as a standardized billing descriptor that affects outpatient ophthalmic procedural coding, payer coverage determinations, and encounter-level documentation. Key payers included in the analysis are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.
Readers will learn the clinical context for use of the code, typical sites of service, common billing considerations, and where this procedure fits in outpatient ophthalmic care pathways. The summary provides benchmarks and policy-relevant points for payers and providers, and highlights areas where billing clarity, documentation, and coding consistency are commonly applied. Data not available in the input is noted where applicable.
Customize your policy alerts
Sign up for cpt 68840 policy alerts
Get alerted when payer policies referencing 68840 are released or updated.
Monitor payer policy activity
Billing Code Overview
CPT code 68840 describes probing of the lacrimal canaliculi with or without irrigation. This procedure involves insertion of a probe into the small tear drainage channels (canaliculi) to assess or relieve obstruction and may include flushing the system with fluid to confirm patency.
-
Service type: Minor surgical/interventional ophthalmic procedure
-
Typical site of service: Office or ambulatory surgical center (procedure performed under local anesthesia in an outpatient setting)