Bilateral services may be reported as 68761-50. Your ICD-10 diagnosis code(s) will indicate the eye(s) treated.

Does 68761 need a modifier?

CPT code 68761 defines the “closure of the lacrimal punctum, by plug, each,” so additional modifiers that specify the lid—E1, upper left lid; E2, lower left lid; E3, upper right lid; E4, lower right lid—must be used when coding for punctal occlusion. Amniotic Membranes.

Are eye plugs covered by Medicare?

A. Yes; Medicare will cover punctal occlusion by temporary plugs inserted as a diagnostic procedure (usually collagen), as well as permanent plugs (e.g., silicone, thermosensitive or hydrophilic), provided that both procedures are medically necessary.