How To Use CPT Code 67810

CPT 67810 describes the procedure of incisional biopsy of the eyelid skin, including the lid margin. This article will cover the description, official details, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 67810?

CPT 67810 is used to describe the incisional biopsy of the skin on the eyelid, specifically including the lid margin. This procedure involves the removal of a small fragment of suspicious tissue from the eyelid for further analysis in a laboratory. It is performed by a healthcare provider after appropriate preparation and anesthesia of the area.

2. Official Description

The official description of CPT code 67810 is: ‘Incisional biopsy of eyelid skin including lid margin.’

3. Procedure

1. The healthcare provider prepares the patient and administers anesthesia to the area.
2. Using a surgical instrument, the provider makes an incision on the eyelid skin, specifically targeting the suspicious area or its edges.
3. A small fragment of tissue is carefully removed from the eyelid.
4. The specimen is then sent to a laboratory for further analysis to determine its nature.
5. The provider ensures there is no excessive bleeding and applies ointment or a sterile bandage to the incision site.

4. Qualifying circumstances

CPT 67810 is performed when there is a need to examine a suspicious area on the skin of the eyelid or its edges. It is typically done to determine the nature of the tissue and diagnose any potential abnormalities. This procedure is performed by a healthcare provider who is qualified to perform incisional biopsies.

5. When to use CPT code 67810

CPT code 67810 should be used when an incisional biopsy of the eyelid skin, including the lid margin, is performed. It is important to ensure that the procedure is accurately documented and meets the specific criteria outlined in the code description.

6. Documentation requirements

To support a claim for CPT 67810, the healthcare provider must document the following information:

• Reason for performing the biopsy and the presence of a suspicious area on the eyelid
• Details of the procedure, including the incision made and the removal of tissue
• Documentation of any bleeding control measures taken
• Application of ointment or sterile bandage to the incision site

7. Billing guidelines

When billing for CPT 67810, it is important to ensure that the procedure performed aligns with the code description. Additionally, consider any specific guidelines provided by payers or coding authorities. It is also important to review any bundling or unbundling rules that may apply to this code.

8. Historical information

CPT 67810 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition.

9. Examples

1. A dermatologist performs an incisional biopsy of the eyelid skin, including the lid margin, to analyze a suspicious lesion.
2. An ophthalmologist conducts an incisional biopsy of the eyelid skin to determine the nature of a growth.
3. A plastic surgeon performs an incisional biopsy of the eyelid skin to diagnose a potential abnormality.
4. An optometrist performs an incisional biopsy of the eyelid skin to investigate a suspicious area.
5. An oculoplastic surgeon conducts an incisional biopsy of the eyelid skin to analyze a lesion for further diagnosis.