Reimbursement Guidelines for Punctal or Intracanalicular Occlusion by Plug

Topic: Punctum Plugs

Sponsor: OASIS Medical

Updated: 06/02/2023

OASIS Medical

This monograph addresses reimbursement associated with punctal occlusion utilizing Oasis products including FORM FIT® (intracanalicular) plugs, Soft Plug® silicone (punctum) plugs, Soft Plug Flow Control (silicone partial-occlusion) plugs, Soft Plug Extended Duration (90-day and 180-day temporary) plugs, and Soft Plug (collagen temporary) plugs.

Reimbursement by Medicare or other third party payers for this procedure involves a number of issues including coverage guidelines, the locations where services are rendered, and coding. This discussion addresses all of these variables in order to provide the reader with a comprehensive understanding of the topic.