CPT® Code 68400

The procedure described by CPT® Code 68400 involves the incision and drainage of the lacrimal gland, which is a critical component of the eye's tear production system. This procedure is typically indicated when there is an abscess or an accumulation of fluid within the lacrimal gland or lacrimal sac, which can lead to discomfort, swelling, and potential infection. The process begins with the cleansing of the upper eyelid to prepare the area for intervention. A local anesthetic may be administered to minimize discomfort during the procedure. Once the area is adequately prepared, the surgeon identifies the site of fluctuance, which indicates the presence of fluid accumulation. An incision is then made to allow for drainage of the fluid. If loculations, or pockets of fluid, are present, they are disrupted using both blunt and sharp dissection techniques to ensure complete drainage. Following the drainage, the area may be flushed with an antibiotic solution to reduce the risk of infection. Depending on the specific circumstances of the case, the incision may be left open to facilitate further drainage, or a drain may be placed, with the skin being closed around it to maintain the integrity of the area while allowing for continued drainage if necessary.