A4262 Temporary tear duct plug
Also known as: temporary plug, tear duct plug, collagen plug
Temporary Tear Duct Plug, a removable occlusive device inserted into lacrimal duct opening for dry eye treatment and tear retention.
In Plain Language
eye duct plug; temporary tear blocker
Clinical Context
Used in dry eye disease treatment to occlude tear ducts temporarily, preserving natural tears and improving ocular comfort.
RVU Information
CPT A4262 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.
Billing & Documentation
HCPCS A-codes cover medical supplies, equipment, and transport services. Documentation must establish medical necessity and include a physician order. For durable medical equipment (DME), a Certificate of Medical Necessity (CMN) or detailed written order may be required.
Specialties
Frequently Asked Questions
What is CPT code A4262?
CPT A4262 (Temporary tear duct plug) is a A Codes code. Temporary Tear Duct Plug, a removable occlusive device inserted into lacrimal duct opening for dry eye treatment and tear retention.
Does Medicare cover A4262?
Medicare coverage for A4262 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used in dry eye disease treatment to occlude tear ducts temporarily, preserving natural tears and improving ocular comfort. A physician order is typically required.
When is CPT A4262 used?
Used in dry eye disease treatment to occlude tear ducts temporarily, preserving natural tears and improving ocular comfort.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.