How To Use CPT Code 67912

CPT 67912 describes the correction of lagophthalmos, a condition where the eyelids cannot completely close, by inserting a lid load on the upper eyelid. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 67912?

CPT 67912 is used to describe the correction of lagophthalmos, a condition in which the eyelids cannot fully close. This is achieved by inserting a lid load, such as a gold weight, on the upper eyelid. The lid load helps to close the eyelid by gravity, allowing for improved eye protection and lubrication.

2. Official Description

The official description of CPT code 67912 is: ‘Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight).’ This procedure involves the insertion of a lid load on the upper eyelid to correct the inability of the eyelids to fully close.

3. Procedure

1. The patient is appropriately prepped and anesthetized for the procedure.
2. A traction suture is placed through the eyelid margin to assist with retraction.
3. An incision is made on the eyelid crease to access the eyelid structures.
4. The provider dissects the eyelid structures to expose the anterior surface of the tarsus.
5. A lid load, such as a gold weight, is placed over the exposed superior tarsal surface.
6. The lid load is sutured into position to ensure proper placement and stability.
7. The provider closes the orbicularis oculi muscle over the implant to provide additional support.
8. The traction suture is removed, and the provider closes the skin incision.
9. The wound is treated with antibiotic ointment and a double eye pad for protection.

4. Qualifying circumstances

CPT 67912 is performed on patients with lagophthalmos, a condition in which the eyelids cannot fully close. This procedure is indicated when other conservative measures have failed to adequately address the condition. The patient must be appropriately prepped and anesthetized for the procedure.

5. When to use CPT code 67912

CPT code 67912 should be used when the provider performs the correction of lagophthalmos by inserting a lid load on the upper eyelid. This code is specific to the implantation of a lid load, such as a gold weight, and should not be used for other procedures or interventions.

6. Documentation requirements

To support a claim for CPT 67912, the provider must document the following information:

• Patient’s diagnosis of lagophthalmos
• Details of the procedure, including the type of lid load used
• Date of the procedure
• Start and end time of the procedure
• Any complications or additional procedures performed
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 67912, ensure that the procedure performed is the correction of lagophthalmos with the implantation of an upper eyelid lid load. It is important to follow the specific documentation requirements and guidelines set forth by the payer. If the cost of the lid load is separately reportable, HCPCS code L8610 can be used. However, it is essential to check with the payer for their specific billing guidelines and requirements.

8. Historical information

CPT 67912 was added to the Current Procedural Terminology system on January 1, 2004. There have been no updates or changes to the code since its addition.

9. Examples

1. A patient with lagophthalmos undergoes a correction procedure with the implantation of a gold weight on the upper eyelid.
2. A provider performs the correction of lagophthalmos by inserting a lid load on the upper eyelid using a platinum weight.
3. A patient with lagophthalmos receives a lid load implantation procedure to improve the closure of the eyelids.
4. A provider corrects lagophthalmos by inserting a lid load on the upper eyelid using a silicone weight.
5. A patient undergoes a correction procedure for lagophthalmos with the implantation of a gold weight on the upper eyelid to improve eye protection and lubrication.
6. A provider performs the correction of lagophthalmos by inserting a lid load on the upper eyelid using a titanium weight.
7. A patient with lagophthalmos receives a lid load implantation procedure to address the inability of the eyelids to fully close.
8. A provider corrects lagophthalmos by inserting a lid load on the upper eyelid using a stainless steel weight.
9. A patient undergoes a correction procedure for lagophthalmos with the implantation of a gold weight on the upper eyelid to enhance eye closure.
10. A provider performs the correction of lagophthalmos by inserting a lid load on the upper eyelid using a platinum weight to improve eyelid function.