Lasergrammetry returns a set of points, typically *very* high density, more of the "blob" than elements. There are utilities that can skin those points into surface models. There are so many points that tools are needed, like CloudWorx or the Faro engine in newer AutoDesk products, to manage them. I've seen a few users try their hand at brute-forcing node objects into AutoCAD, complaining that performance is "off" at ~ 50k points. :whistle:
We have been using the point cloud two ways. The first is a "go-by" to create models where none exist, loading the cloud into a drawing and using piping design tools to run pipe, valves, and fittings that closely match the cloud using some RMS tools to approiximate centerline of pipe. The second way is an "as-build check", where the point cloud is overlaid onto an existing model to confirm whats in the model is the same as whats in the field. In both cases we also publish the point cloud to Navisworks NWD which makes viewing model/point cloud combinations faster.