How To Use CPT Code 67921

CPT 67921 describes the repair of entropion using sutures. 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 67921?

CPT 67921 is used to describe the repair of entropion, which is the inward turning of the lower eyelid and eyelashes towards the eye. This procedure involves the use of sutures to correct the entropion and alleviate symptoms such as excessive tearing and eye irritation.

2. Official Description

The official description of CPT code 67921 is: ‘Repair of entropion; suture.’

3. Procedure

1. During the procedure, the healthcare provider prepares the patient and administers anesthesia.
2. The provider then passes sutures through the conjunctival fold externally to the lash line.
3. Absorbable sutures are placed in the medial, middle, and lateral thirds of the eyelid and tied on the skin side.
4. The sutures are used to turn the eyelid margin inside out and correct the entropion.

4. Qualifying circumstances

CPT 67921 is performed on patients with entropion, a condition where the lower eyelid and eyelashes turn inward towards the eye. This procedure is appropriate for patients experiencing symptoms such as excessive tearing and eye irritation. The repair is done using sutures to correct the entropion and improve the patient’s condition.

5. When to use CPT code 67921

CPT code 67921 should be used when a healthcare provider performs a repair of entropion using sutures. This code is appropriate for cases where the entropion is corrected through the use of sutures. It should not be used if other techniques, such as thermocauterization or tarsal wedge excision, are employed.

6. Documentation requirements

To support a claim for CPT 67921, the healthcare provider must document the following information:

• Patient’s diagnosis of entropion
• Details of the procedure, including the use of sutures
• Date of the procedure
• Any additional relevant information, such as the patient’s response to the treatment

7. Billing guidelines

When billing for CPT 67921, ensure that the procedure involves the repair of entropion using sutures. It is important to use the appropriate code based on the specific technique employed. If thermocauterization or tarsal wedge excision is used instead, report the corresponding codes (67922 or 67923, respectively). For extensive repairs of entropion, use code 67924. It is also important to follow any additional guidelines provided by the payer or coding guidelines.

8. Historical information

CPT 67921 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 healthcare provider performs a repair of entropion using sutures for a patient experiencing excessive tearing and eye irritation.
2. During the procedure, the provider corrects the entropion by placing sutures in the eyelid and turning the eyelid margin inside out.
3. A patient with entropion undergoes a repair procedure where sutures are used to alleviate symptoms and improve eye function.
4. A healthcare provider performs a successful repair of entropion using sutures, resulting in the patient’s relief from eye irritation and tearing.
5. Using sutures, a healthcare provider corrects the entropion in a patient’s lower eyelid, providing them with improved eye comfort and function.
6. A patient with entropion undergoes a repair procedure where sutures are used to restore the normal position of the eyelid and eyelashes.
7. A healthcare provider performs a repair of entropion using sutures, effectively addressing the patient’s symptoms and improving their quality of life.
8. During the procedure, the provider carefully places sutures to correct the entropion and ensure proper alignment of the eyelid and eyelashes.
9. A patient with entropion undergoes a successful repair procedure using sutures, resulting in the resolution of their symptoms and improved eye health.
10. A healthcare provider performs a repair of entropion using sutures, providing the patient with relief from eye irritation and discomfort.