Clinical guide · Punctal occlusion
Punctal Plugs Type, sizing, packs and billing.
A quick reference for choosing a plug type, reading a size chart, checking how many plugs come in a pack and coding the procedure. EagleVision, Lacrivera and OASIS are all in the Punctal Plug Finder.
Choose by type and duration.
Each family behaves differently in the canaliculus, so the stated duration on the product is the number to plan around.
Collagen
Temporary absorbable inserts. Effective occlusion and complete absorption are different measures, so use the product's stated duration.
Synthetic absorbable
Extended temporary occlusion. OASIS Extended Duration is up to 90 days and its 180 line up to 180 days. Vera90 is labeled 60 to 180 days.
Silicone punctal
Long-term occlusion while retained. Full-occlusion and flow-control models are separate options.
Hydrogel intracanalicular
FORM FIT is a distinct material and fitting system, with its own instructions for sizing, placement and removal.
Sources: OASIS product resources · VeraC7 and Vera90 product sheet
Read the size correctly.
Named sizes are product-specific. A fitting range, a plug diameter and a drainage-channel diameter are three different measurements.
FlexFit fitting ranges
| Size | Punctal opening |
|---|---|
| X-Small | 0.2 to 0.3 mm |
| Small | 0.3 to 0.5 mm |
| Medium | 0.6 to 0.8 mm |
| Large | 0.9 to 1.0 mm |
Applies to FlexFit sterile preloaded and nonsterile bulk. Manufacturer size chart.
EagleVision sizing
- Eagle Collagen: stocked diameters are 0.2, 0.3 and 0.4 mm, with a 2 mm length
- EaglePlug TearFlow: O.D. is the outside diameter and I.D. the drainage-channel diameter; match the outside diameter for sizing
- Use the model-specific instructions for patient selection, contraindications, sizing, insertion, follow-up and removal
Check plugs per pack.
Finder quantities are packs. Product titles open the listing, and SKU links select the exact size and pack.
| Product | Pack contents |
|---|---|
| FlexFit sterile preloaded | 2 plugs per box |
| FlexFit nonsterile bulk | 20 plugs per box, packaged as 10 pairs with inserters |
| OASIS 6405 | 0.5 mm, 40 plugs |
| OASIS 6405-A | 0.5 mm, 20 plugs |
| OASIS 6200V | 20 plugs: six 0.3 mm, eight 0.4 mm and six 0.5 mm |
Sources: FlexFit bulk packaging · OASIS catalogue · Manufacturer product sheets and instructions
Billing and coding.
CPT 68761 covers punctal closure by plug and is reported per punctum. Use current payer policies for the claim; published reimbursement examples are dated and are not a payment guarantee.
Document and verify
- Medical necessity, prior treatment and consent
- Treated puncta, plug brand, size and lot
- Postoperative instructions
- Payer rules on laterality modifiers, multiple procedures, repeat placement and separately identifiable visits
- Medicare generally includes the plug supply in the procedure payment
Find the right plug in the Finder.
Filter by duration, brand, size, placement and occlusion, compare packs and download product information.
This guide is a product reference for licensed eye care professionals. Patient selection, sizing and placement follow each manufacturer's instructions for use and the treating provider's judgment. Coding information is general; confirm with your billing team and current payer policy.
