68525 Biopsy of tear sacral
Also known as: lacrimal sac biopsy, dacryocyst biopsy
Biopsy of lacrimal sac using needle or open technique to obtain tissue for diagnosis.
In Plain Language
taking sample from tear sac; tear sac tissue sample
Clinical Context
Used for diagnosis of lacrimal sac pathology. Common indications include suspected malignancy, chronic infection, or inflammatory conditions.
RVU Breakdown
| Work RVU | 4.31 |
| Total RVU | 4.31 |
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 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 4.31, this code ranks in the 29th percentile among Surgery codes — 1.9x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 68525?
CPT 68525 (Biopsy of tear sacral) is a Surgery code. Biopsy of lacrimal sac using needle or open technique to obtain tissue for diagnosis.
What is the wRVU value for CPT 68525?
The work RVU for CPT 68525 is 4.31. This code is primarily used by Ophthalmology.
When is CPT 68525 used?
Used for diagnosis of lacrimal sac pathology. Common indications include suspected malignancy, chronic infection, or inflammatory conditions.
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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.