How To Use CPT Code 67923

CPT 67923 describes the procedure for repairing entropion by excising a tarsal wedge. 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 67923?

CPT 67923 is used to describe the surgical repair of entropion, a condition where the lower eyelid and eyelashes turn inward towards the eye, causing irritation and excessive tearing. The procedure involves the excision of a tarsal wedge to correct the rotation of the eyelid and restore its normal position.

2. Official Description

The official description of CPT code 67923 is: ‘Repair of entropion; excision tarsal wedge.’

3. Procedure

1. The provider begins by making an incision at the lower eyelid.
2. A wedge-shaped piece of tissue, measuring approximately 8 mm, is then removed from the eyelid.
3. This excision includes a section of the tarsus, which is the fibrous connective tissue along the border of the eyelid, as well as a portion of the orbicularis muscle, which is responsible for closing the eyelids.
4. The provider carefully brings together the corners of the excision site and repairs the incision using sutures.

4. Qualifying circumstances

CPT 67923 is performed on patients with entropion, a condition characterized by the inward rotation of the lower eyelid and eyelashes. It is important to note that this procedure is specifically for cases where a tarsal wedge excision is required. Other repair methods, such as sutures or thermocauterization, have their own corresponding CPT codes.

5. When to use CPT code 67923

CPT code 67923 should be used when a provider performs a surgical repair of entropion by excising a tarsal wedge. It is important to ensure that the procedure performed aligns with the specific description of the code. If a different repair method is used, the corresponding CPT code for that method should be reported instead.

6. Documentation requirements

To support a claim for CPT 67923, the provider must document the following information:

• Patient’s diagnosis of entropion
• Description of the procedure performed, including the excision of a tarsal wedge
• Date of the procedure
• Details of the incision and repair process
• Any additional relevant information, such as complications or follow-up care

7. Billing guidelines

When billing for CPT 67923, it is important to ensure that the procedure performed aligns with the specific description of the code. If a different repair method is used, the corresponding CPT code for that method should be reported instead. It is also important to follow any additional guidelines provided by payers or coding authorities.

8. Historical information

CPT 67923 was added to the Current Procedural Terminology system on January 1, 1990. There have been historical changes to the code, including a code change on January 1, 2004, which modified the description to specify the excision of a tarsal wedge.

9. Examples

1. A provider performs a surgical repair of entropion by excising a tarsal wedge for a patient with chronic eyelid irritation.
2. A patient with entropion undergoes a procedure where a tarsal wedge is excised to correct the inward rotation of the lower eyelid and eyelashes.
3. A provider performs a surgical repair of entropion by excising a tarsal wedge for a patient experiencing excessive tearing and discomfort.
4. A patient with entropion undergoes a procedure where a tarsal wedge is excised to restore the normal position of the eyelid and alleviate irritation.
5. A provider performs a surgical repair of entropion by excising a tarsal wedge for a patient with persistent eye irritation and redness.
6. A patient with entropion undergoes a procedure where a tarsal wedge is excised to correct the inward turning of the lower eyelid and improve eye comfort.
7. A provider performs a surgical repair of entropion by excising a tarsal wedge for a patient with recurrent eye infections.
8. A patient with entropion undergoes a procedure where a tarsal wedge is excised to prevent further damage to the eye caused by the inward rotation of the eyelid.
9. A provider performs a surgical repair of entropion by excising a tarsal wedge for a patient with persistent eye irritation and blurred vision.
10. A patient with entropion undergoes a procedure where a tarsal wedge is excised to restore the normal position of the eyelid and improve visual clarity.