CPT® Code 68745

Conjunctivorhinostomy is a surgical procedure designed to address epiphora, which is characterized by excessive tearing due to obstructions in the upper lacrimal structures, specifically the punctum and canaliculi. This condition can significantly impact a patient's quality of life, leading to discomfort and potential complications if left untreated. During the procedure, an incision is made in the lower lid conjunctival sac, allowing the surgeon to raise mucosal flaps. The next critical step involves perforating the frontal process of the maxillary bone to create a direct passageway between the conjunctival sac and the nasal fossa. This connection facilitates the drainage of tears directly into the nasal cavity, thereby alleviating the symptoms associated with the blockage. It is important to note that this specific code, CPT® 68745, refers to the conjunctivorhinostomy performed without the placement of a tube, distinguishing it from similar procedures that may involve additional components such as tube insertion for enhanced drainage.