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The CPT® Code 68110 refers to the excision of a lesion on the conjunctiva, specifically for lesions that are up to 1 cm in size. Conjunctival lesions can vary in nature, with some of the more common types being benign squamous cell and limbal papillomas, as well as malignant conditions such as primary acquired melanosis, conjunctival melanoma, and squamous cell carcinoma. The procedure typically begins with the administration of anesthetic drops or another form of local anesthesia to ensure patient comfort during the excision. Following anesthesia, the conjunctiva is carefully inspected to assess the lesion and determine the extent of the excision required. The surgeon then excises the lesion along with a margin of healthy tissue to ensure complete removal. The excised tissue is sent for pathological evaluation to confirm the diagnosis and to check that the margins are clear of any malignant cells. If necessary, additional tissue, including scleral tissue, may be excised until clear margins are obtained. It is important to note that for lesions larger than 1 cm, the appropriate code to use is 68115, and for lesions requiring excision of adjacent scleral tissue, the code is 68130.
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