Ophthalmic Coding Specialist Practice Test

What is the correct CPT code when inserting collagen punctal plugs?

1. CPT code 68761

2. CPT code 65222

3. CPT code 92014

4. CPT code 92004

The correct answer is: CPT code 68761

The correct CPT code for inserting collagen punctal plugs is 68761. This code specifically pertains to the procedure of inserting punctal plugs, which are small devices placed in the tear ducts to decrease tear drainage, thus enhancing ocular moisture. This code is classified under the surgical section of the CPT manual, focusing on the procedures related to the eye and its adnexa. The designation of this code highlights its purpose and the nature of the procedure, making it straightforward for clinicians to report the insertion of these plugs accurately for reimbursement and statistical purposes. In contrast, other codes listed have different uses. For instance, the codes related to the procedures coded for eyelid and eye conditions or other services, such as comprehensive eye exams, do not pertain to procedures for punctal plug insertion, which is why they do not apply in this context. Understanding the specificity of each code is crucial for accurate coding practices in ophthalmology.