CPT® Code 68440

The procedure described by CPT® Code 68440 involves a surgical intervention known as a snip incision of the lacrimal punctum, which is primarily performed to address stenosis, or narrowing, of the lacrimal punctum. This condition can lead to obstruction of tear drainage, resulting in excessive tearing or other ocular issues. The snipping procedure aims to widen the opening of the punctum, thereby restoring normal tear drainage. It is commonly referred to in various terms such as one-snip, two-snip, or three-snip procedure, or snip punctoplasty, depending on the number of incisions made during the operation. Stenosis of the lacrimal punctum can arise from several underlying causes, including infections, systemic conditions like porphyria cutanea tarda or acrodermatitis enteropathica, trauma, thermal or chemical burns, and the effects of topical or systemic chemotherapy or radiation therapy. The procedure is performed under local anesthesia, ensuring patient comfort while allowing for precise surgical intervention. The technique involves careful manipulation of the punctum and surrounding structures to achieve the desired outcome of improved tear drainage.