How To Use CPT Code 67917

CPT 67917 describes the extensive repair of ectropion, a condition where the lower eyelid and eyelashes turn outward, causing irritation and excessive tearing. 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 67917?

CPT 67917 can be used to describe the extensive repair of ectropion, specifically addressing the outward turning of the lower eyelid and eyelashes. This procedure aims to correct the condition and alleviate symptoms such as excessive tearing and eye irritation.

2. Official Description

The official description of CPT code 67917 is: ‘Repair of ectropion; extensive (eg, tarsal strip operations).’ It is important to note that for the correction of everted punctum, a different code, 68705, should be used.

3. Procedure

1. During the procedure, the provider begins by making an incision in the lower lid and using electric current to seal the blood vessels. This step exposes the periosteum of the lateral orbital rim.
2. The provider then segments a strip of tarsus in the lower lid and places nonabsorbable sutures through the strip.
3. Attachments to the lower eyelid are released, and the lower lid tarsus is isolated.
4. The sutures are passed through the tarsus to the periosteum of the orbital rim and tightened.
5. The provider checks the height and contour of the eyelid margin to ensure proper alignment.
6. Finally, the incision is repaired with sutures.

4. Qualifying circumstances

CPT 67917 is performed on patients with ectropion, a condition characterized by the outward turning of the lower eyelid and eyelashes. This procedure is considered extensive and is used when other repair methods, such as thermocauterization or tarsal wedge excision, are not suitable. It is important to note that CPT 67917 should not be used for the correction of everted punctum.

5. When to use CPT code 67917

CPT code 67917 should be used when the provider performs an extensive repair of ectropion, specifically utilizing tarsal strip operations. This code is appropriate when other repair methods are not applicable or when the extent of the ectropion requires a more extensive approach.

6. Documentation requirements

To support a claim for CPT 67917, the provider must document the following information:

• Patient’s diagnosis of ectropion
• Description of the extensive repair procedure performed
• Date of the procedure
• Details of the surgical technique used, including the use of tarsal strip operations
• Any additional relevant information or findings during the procedure
• Signature of the performing provider

7. Billing guidelines

When billing for CPT 67917, ensure that the procedure performed is an extensive repair of ectropion using tarsal strip operations. It is important to note that CPT 67917 should not be reported for the correction of everted punctum. Additionally, be aware of any specific guidelines or modifiers required by the payer for accurate billing and reimbursement.

8. Historical information

CPT 67917 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 patient undergoes an extensive repair of ectropion using tarsal strip operations to correct the outward turning of the lower eyelid and eyelashes.
2. A provider performs a tarsal strip procedure to repair ectropion in a patient with excessive tearing and eye irritation.
3. An individual undergoes an extensive repair of ectropion to alleviate symptoms and improve the alignment of the lower eyelid.
4. A patient with ectropion undergoes a surgical procedure utilizing tarsal strip operations to correct the outward turning of the lower eyelid and eyelashes.
5. A provider performs an extensive repair of ectropion using tarsal strip operations to address the patient’s eye irritation and excessive tearing.
6. A patient undergoes a tarsal strip procedure to correct the outward turning of the lower eyelid and eyelashes caused by ectropion.
7. An individual with ectropion undergoes an extensive repair procedure utilizing tarsal strip operations to improve the alignment and function of the lower eyelid.
8. A provider performs an extensive repair of ectropion using tarsal strip operations to alleviate symptoms and improve the appearance of the lower eyelid.
9. A patient undergoes a surgical procedure to repair ectropion, specifically utilizing tarsal strip operations to correct the outward turning of the lower eyelid and eyelashes.
10. A provider performs an extensive repair of ectropion using tarsal strip operations to address the patient’s discomfort and improve the function of the lower eyelid.