CPT® Code 68115

The CPT® Code 68115 refers to the excision of a lesion from the conjunctiva that measures over 1 cm. Conjunctival lesions can vary in nature, with some of the more common types requiring excision being benign squamous cell lesions 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 excises the lesion along with a margin of healthy tissue to ensure complete removal. The excised tissue is then sent for pathological evaluation to confirm the diagnosis and to check that the margins are clear of any remaining abnormal cells. If necessary, additional tissue, including scleral tissue, may be excised until clear margins are achieved. It is important to note that for lesions measuring up to 1 cm, the appropriate code is 68110, while for lesions requiring excision of adjacent scleral tissue, the code 68130 should be used.