A review of Nearctic Apotomis Hübner (Lepidoptera: Tortricidae: Olethreutini) is presented. Seventeen species are recognized, of which the following are new: coloradensis, trifida, and spurinfida. Apotomis strigosa Heinrich, 1926 is considered a new synonym of tertiana McDunnough, 1922, and dextrana McDunnough, 1923 of removana Kearfott, 1907. Descriptions, distribution maps, and a key to species are provided. Illustrations of male and female genitalia and photographs of distinctive wing patterns are included. Scanning electron micrographs reveal that setae on digitus of male genitalia are taxonomically important.