How To Use CPT Code 67914

CPT 67914 describes the repair of ectropion using sutures. This article will cover the description, official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 67914?

CPT 67914 is used to describe a procedure in which a provider repairs ectropion, which is the outward turning of the lower eyelid and eyelashes. This condition can cause excessive tearing and irritation of the eye. The repair is done using sutures to change the rotation of the eyelid to its correct position.

2. Official Description

The official description of CPT code 67914 is: ‘Repair of ectropion; suture.’

3. Procedure

1. During the procedure, the provider passes dissolvable double arm sutures through the inferior border of the tarsus, which is the fibrous connective tissue along the border of the eyelid.
2. The sutures are tied together, changing the rotation of the eyelid to its correct position.
3. The sutures emerge at the skin surface near the orbital rim, which is the peripheral border of the eye socket.
4. The sutures used are dissolvable, meaning they are absorbed by the body over time.

4. Qualifying circumstances

CPT 67914 is used when a patient has ectropion, which requires repair using sutures. The procedure is performed by a provider who is appropriately prepped and anesthetized. The patient must have an outward turning of the lower eyelid and eyelashes, causing excessive tearing and irritation of the eye.

5. When to use CPT code 67914

CPT code 67914 should be used when a provider performs the repair of ectropion using sutures. It is important to note that if the provider uses thermocauterization to repair the ectropion, CPT code 64915 should be used instead. Similarly, if the provider performs the repair by tarsal wedge excision, CPT code 64916 should be used.

6. Documentation requirements

To support a claim for CPT 67914, the provider must document the following information:

• Patient’s diagnosis of ectropion
• Details of the repair procedure, including the use of sutures
• Date of the procedure
• Start and end time of the procedure
• Any additional relevant information or complications
• Provider’s signature

7. Billing guidelines

When billing for CPT 67914, ensure that the procedure involves the repair of ectropion using sutures. It is important to follow the specific guidelines for reporting this code and to use the appropriate modifiers if necessary. For example, if reporting CPT 67914 with another code, ensure that they are compatible and supported by the documentation.

8. Historical information

CPT 67914 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates to the code since its addition.

9. Examples

1. A patient undergoes a repair of ectropion using sutures to correct the outward turning of the lower eyelid and eyelashes.
2. A provider performs a procedure to repair ectropion by changing the rotation of the eyelid using sutures.
3. A patient with ectropion undergoes a repair procedure in which sutures are used to correct the condition.
4. A provider repairs ectropion by using dissolvable sutures to change the rotation of the eyelid to its correct position.
5. A patient undergoes a procedure to repair ectropion, involving the use of sutures to correct the outward turning of the lower eyelid and eyelashes.
6. A provider performs a repair of ectropion using sutures to change the rotation of the eyelid and correct the condition.
7. A patient with ectropion undergoes a procedure in which sutures are used to repair the condition and bring the eyelid back to its correct position.
8. A provider repairs ectropion by using dissolvable sutures to change the rotation of the eyelid and correct the outward turning.
9. A patient undergoes a repair procedure for ectropion, involving the use of sutures to correct the condition and improve eye function.
10. A provider performs a procedure to repair ectropion using sutures, aiming to bring the eyelid back to its normal position and alleviate symptoms.