Punctal Plugs

Insert diameter and punctal-opening fit range are different measurements. Use the named product’s sizing chart. Sizes and Small/Medium/Large labels are not interchangeable across brands.

One pair is two plugs. Compare the total plugs per box, sterility and inserter configuration. Lacrivera Flow bulk is five pairs; FlexFit and VeraPlug bulk are ten pairs.

Vera90 and DuraPlug are described as 60–180 days in the supplied manufacturer sheets. Collagen effectiveness and complete absorption are different measures. Review the exact product details.

Flow Control products provide partial occlusion through a channel. Keep them separate from full-occlusion options when comparing products.

Open sizes and quantities, then select Compare on up to three families. Check the exact size, pack count and configuration before using price per plug. Similar specifications do not establish identical products.

Yes, for configurations matched to the supplied manufacturer catalogues. You can always search the store SKU. Unresolved model or packaging matches are excluded from manufacturer-reference search.

Record symptoms, functional impact, examination findings, diagnosis and prior treatment response or contraindications. Record consent, treated puncta, plug brand, size and lot, procedure details and follow-up instructions. Support repeat insertion with its own clinical rationale.

Oasis identifies CPT 68761 for plug occlusion, per punctum. Site identifiers: E1 left upper, E2 left lower, E3 right upper, E4 right lower. Verify whether the payer requires these, RT/LT or bilateral reporting; choose the diagnosis and laterality supported by the record.

Not automatically. CMS guidance permits modifier 25 on a significant, separately identifiable E/M service beyond the minor procedure work and unrelated to the decision to perform it. Document that additional service; a routine procedure assessment alone does not qualify.

Check payer rules for units, site modifiers, bilateral reporting, multiple-procedure reductions and the applicable global period. A replacement is not automatically separately payable. Do not use one payment formula or modifier combination for every payer.

The dated Oasis Medicare guide includes plug supply in the procedure payment. Check current payer policy before adding a supply charge. Use the current fee schedule for locality and setting rather than historical reimbursement examples.