68440 Snip incision lacrimal punctum
Also known as: punctal snip, simple punctotomy
Snip incision of lacrimal punctum using blade technique to enlarge punctal opening for lacrimal system patency.
In Plain Language
enlarging tear drain opening; cutting tear duct opening
Clinical Context
Used for enlargement of lacrimal punctum. Common indications include punctal stenosis, narrow punctum, or inadequate tear drainage.
RVU Breakdown
| Work RVU | 0.97 |
| Total RVU | 0.97 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 10-day global period — follow-up visits within 10 days of the procedure are included in the reimbursement. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 0.97, this code ranks in the 4th percentile among Surgery codes — 8.2x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 68440?
CPT 68440 (Snip incision lacrimal punctum) is a Surgery code. Snip incision of lacrimal punctum using blade technique to enlarge punctal opening for lacrimal system patency.
What is the wRVU value for CPT 68440?
The work RVU for CPT 68440 is 0.97. This code is primarily used by Ophthalmology. It has a 10-day global period.
When is CPT 68440 used?
Used for enlargement of lacrimal punctum. Common indications include punctal stenosis, narrow punctum, or inadequate tear drainage.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against national data — all in one app.
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.