CPT® Code 68705

The procedure described by CPT® Code 68705 involves the correction of an everted punctum through the use of cautery. The inferior punctum, which is a small opening located at the inner corner of the lower eyelid, is typically oriented in a way that it faces the back of the eye, allowing for proper drainage of tears. However, in cases where the punctum is everted, it turns outward and away from the eye, which can lead to issues with tear drainage and potential discomfort. To address this condition, a probe is inserted through the everted punctum and into the canaliculus, which is the channel that carries tears from the punctum to the nasolacrimal duct. During the procedure, the lower eyelid is everted, and specific areas are cauterized. This cauterization creates a controlled burn that, upon healing, results in scar tissue formation. The scar tissue will contract over time, effectively pulling the everted punctum back into a more anatomically correct position, ensuring it is once again in contact with the globe of the eye. This procedure is essential for restoring normal tear drainage and alleviating any associated symptoms caused by the everted punctum.