How To Use CPT Code 67930

CPT 67930 describes the procedure for suturing a recent wound in the eyelid that involves the lid margin, tarsus, and/or palpebral conjunctiva. This article will cover the official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 67930?

CPT 67930 can be used to describe the procedure of suturing a recent wound in the eyelid that does not completely penetrate the eyelid but may involve its edges, membrane lining, or inner plate. The provider closes the wound by suturing the edges together using a direct closure technique.

2. Official Description

The official description of CPT code 67930 is: ‘Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; partial thickness.’

3. Procedure

1. The provider prepares the patient for the procedure and administers anesthesia if necessary.
2. If needed, the provider trims the edges of the wound to ensure proper alignment.
3. The provider closes the wound in layers, starting with the eyelid margin, tarsus, and/or palpebral conjunctiva.
4. The provider uses sutures to directly close the wound, ensuring proper alignment of the edges.
5. The provider completes the procedure by securing the sutures and ensuring hemostasis.

4. Qualifying circumstances

CPT 67930 is used for patients with recent wounds in the eyelid that involve the lid margin, tarsus, and/or palpebral conjunctiva. The procedure is performed when the wound does not completely penetrate the eyelid but may affect its edges, membrane lining, or inner plate. The provider must use a direct closure technique to suture the wound.

5. When to use CPT code 67930

CPT code 67930 should be used when the provider performs a partial thickness closure of a recent wound in the eyelid that involves the lid margin, tarsus, and/or palpebral conjunctiva. It is important to note that this code is not appropriate for full-thickness wounds that extend completely through the eyelid.

6. Documentation requirements

To support a claim for CPT 67930, the provider must document the following information:

• Description of the wound and its location
• Details of the procedure performed, including the technique used for closure
• Date of the procedure
• Start and end time of the procedure
• Any additional procedures or services provided during the same encounter
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 67930, ensure that the procedure meets the criteria described in the official description. It is important to use the appropriate modifier to designate the involved eyelid (E1 for upper left, E2 for lower left, E3 for upper right, and E4 for lower right). This modifier provides additional clinical information but does not directly affect payment. It is also important to note that CPT 67930 should not be reported with other codes for full-thickness eyelid wounds.

8. Historical information

CPT 67930 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 provider suturing a recent wound in the upper left eyelid involving the lid margin and palpebral conjunctiva using a direct closure technique.
2. A provider suturing a recent wound in the lower right eyelid involving the tarsus and palpebral conjunctiva using a direct closure technique.
3. A provider suturing a recent wound in the upper right eyelid involving the lid margin and tarsus using a direct closure technique.
4. A provider suturing a recent wound in the lower left eyelid involving the lid margin, tarsus, and palpebral conjunctiva using a direct closure technique.
5. A provider suturing a recent wound in the upper left eyelid involving the lid margin and tarsus using a direct closure technique.
6. A provider suturing a recent wound in the lower right eyelid involving the lid margin and palpebral conjunctiva using a direct closure technique.
7. A provider suturing a recent wound in the upper right eyelid involving the tarsus and palpebral conjunctiva using a direct closure technique.
8. A provider suturing a recent wound in the lower left eyelid involving the lid margin, tarsus, and palpebral conjunctiva using a direct closure technique.
9. A provider suturing a recent wound in the upper left eyelid involving the lid margin and tarsus using a direct closure technique.
10. A provider suturing a recent wound in the lower right eyelid involving the lid margin and palpebral conjunctiva using a direct closure technique.