Reimbursement Guidelines for Punctal or Intracanalicular Occlusion by Plug

Topic: Punctum Plugs

Sponsor: OASIS Medical

Updated: 05/01/2025

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 payors for this procedure involves a number of issues including coverage guidelines, the locations where services are rendered, and coding. This discussion addresses these variables to provide the reader with a comprehensive understanding of the topic.