How To Use CPT Code 67915

CPT 67915 describes a procedure used to repair ectropion, which is a condition where the lower eyelid and eyelashes turn outward. 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 67915?

CPT 67915 is a code used to describe a procedure that repairs ectropion, a condition where the lower eyelid and eyelashes turn outward. During this procedure, the healthcare provider uses thermocauterization, which involves applying heat to the posterior tissues of the eyelid margin. This causes the lid margin to rotate inward and correct the ectropion, alleviating symptoms such as excessive tearing and eye irritation.

2. Official Description

The official description of CPT code 67915 is: ‘Repair of ectropion; thermocauterization.’

3. Procedure

1. After appropriate preparation and anesthesia, the healthcare provider performs thermocauterization to repair the ectropion.
2. Using a cautery instrument, the provider applies heat to the posterior tissues of the eyelid margin.
3. This causes the lid margin to shrink and rotate inward, correcting the outward turning of the lower eyelid and eyelashes.
4. The procedure aims to restore the normal position of the eyelid and alleviate symptoms such as tearing and eye irritation.

4. Qualifying circumstances

CPT 67915 is used when a patient presents with ectropion, a condition characterized by the outward turning of the lower eyelid and eyelashes. The procedure is performed by a healthcare provider who is qualified to perform thermocauterization. The patient must have symptoms related to the ectropion, such as excessive tearing and eye irritation, which can be improved by correcting the position of the eyelid.

5. When to use CPT code 67915

CPT code 67915 should be used when a healthcare provider performs thermocauterization to repair ectropion. It is appropriate to use this code when the procedure is performed to correct the outward turning of the lower eyelid and eyelashes, resulting in the alleviation of symptoms and improvement in the position of the eyelid.

6. Documentation requirements

To support a claim for CPT 67915, the healthcare provider must document the following information:

• Patient’s diagnosis of ectropion
• Details of the thermocauterization procedure performed
• Date of the procedure
• Any additional relevant information, such as the patient’s symptoms and the improvement observed after the procedure
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 67915, ensure that the procedure performed is thermocauterization for the repair of ectropion. It is important to follow the specific documentation requirements and guidelines provided by the payer. It is also essential to review any applicable bundling or unbundling rules to ensure accurate billing and reimbursement.

8. Historical information

CPT 67915 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 presents with ectropion, and the healthcare provider performs thermocauterization to repair the condition, resulting in the improvement of symptoms and the correction of the eyelid position.
2. During a procedure, the healthcare provider uses thermocauterization to repair ectropion in a patient, successfully alleviating tearing and eye irritation.
3. A healthcare provider performs thermocauterization to correct ectropion in a patient, resulting in the inward rotation of the eyelid margin and the resolution of symptoms.
4. Using thermocauterization, the healthcare provider repairs ectropion in a patient, improving the position of the eyelid and reducing tearing and eye irritation.
5. A patient undergoes a procedure in which thermocauterization is used to repair ectropion, resulting in the restoration of the normal position of the eyelid and the alleviation of symptoms.