How To Use CPT Code 67935

CPT 67935 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 67935?

CPT 67935 can be used to describe the closure of a recent wound in the eyelid that completely penetrates the eyelid and may involve its edges, membrane lining, or inner plate. The provider sutures the wound edges together as a direct closure.

2. Official Description

The official description of CPT code 67935 is: ‘Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full thickness.’

3. Procedure

1. The provider trims the edges of the wound, if necessary, to ensure proper alignment.
2. The provider then closes the wound in layers, ensuring that the sutures penetrate the eyelid completely.

4. Qualifying circumstances

CPT 67935 is used for the closure of a full-thickness wound in the eyelid that involves the lid margin, tarsus, and/or palpebral conjunctiva. It is important to note that this code is specifically for full-thickness wounds and not partial-thickness wounds. Additionally, modifiers can be used to designate the involved eyelid, providing more clinical information.

5. When to use CPT code 67935

CPT code 67935 should be used when the provider is suturing a recent full-thickness wound in the eyelid that involves the lid margin, tarsus, and/or palpebral conjunctiva. It should not be used for partial-thickness wounds or wounds in other areas of the body.

6. Documentation requirements

To support a claim for CPT 67935, the provider must document the following information:

• Description of the wound and its location
• Details of the closure technique used
• Date of the procedure
• Any additional procedures performed in conjunction with the wound closure
• Signature of the provider

7. Billing guidelines

When billing for CPT 67935, ensure that the procedure meets the criteria for a full-thickness wound in the eyelid involving the specified areas. Modifiers can be used to provide additional clinical information but do not directly affect payment. It is important to follow any specific billing guidelines provided by the payer to ensure accurate reimbursement.

8. Historical information

CPT 67935 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 full-thickness wound in the upper left eyelid involving the lid margin and palpebral conjunctiva.
2. A provider suturing a recent full-thickness wound in the lower right eyelid involving the lid margin and tarsus.
3. A provider suturing a recent full-thickness wound in the upper right eyelid involving the lid margin, tarsus, and palpebral conjunctiva.
4. A provider suturing a recent full-thickness wound in the lower left eyelid involving the lid margin and tarsus.
5. A provider suturing a recent full-thickness wound in the upper left eyelid involving the lid margin, tarsus, and palpebral conjunctiva.
6. A provider suturing a recent full-thickness wound in the lower right eyelid involving the lid margin and palpebral conjunctiva.
7. A provider suturing a recent full-thickness wound in the upper right eyelid involving the lid margin and tarsus.
8. A provider suturing a recent full-thickness wound in the lower left eyelid involving the lid margin, tarsus, and palpebral conjunctiva.
9. A provider suturing a recent full-thickness wound in the upper left eyelid involving the lid margin and tarsus.
10. A provider suturing a recent full-thickness wound in the lower right eyelid involving the lid margin, tarsus, and palpebral conjunctiva.