68801 Dilate tear duct opening
Also known as: punctal dilation, canalicular dilation
Dilation of lacrimal punctum and canaliculus using graduated dilators or mechanical technique.
In Plain Language
widening tear drain opening; opening clogged tear duct
Clinical Context
Used for punctal stenosis or mild obstruction. Common indications include punctal stenosis, partial obstruction, or inadequate drainage.
RVU Breakdown
| Work RVU | 0.80 |
| Total RVU | 0.80 |
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 0.80, this code ranks in the 3rd percentile among Surgery codes — 10.0x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 68801?
CPT 68801 (Dilate tear duct opening) is a Surgery code. Dilation of lacrimal punctum and canaliculus using graduated dilators or mechanical technique.
What is the wRVU value for CPT 68801?
The work RVU for CPT 68801 is 0.80. This code is primarily used by Ophthalmology. It has a 10-day global period.
When is CPT 68801 used?
Used for punctal stenosis or mild obstruction. Common indications include punctal stenosis, partial obstruction, or inadequate 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.