Understanding CPT Codes for Eyelid Repair Procedures

In this article, we’ll explore a variety of eyelid repair procedures like brow ptosis, blepharoptosis, lid retraction, ectropion, and entropion, and provide insights into the CPT codes for eyelid repair procedures. So, let’s get started!

When it comes to brow ptosis, which is the sagging of eyebrows due to aging, facial nerve disorders, or congenital factors, surgery might be needed. There are several techniques to tackle this issue and they can be billed with the following CPT codes.

CPT Codes for Eyelid Repair Procedures

CPT Code 67900: Brow ptosis repair can be performed using different approaches such as supraciliary (above the eyebrow), mid-forehead, and coronal (across the top of the head), all covered under this code. These methods help lift the eyebrow and reduce sagging.

Blepharoptosis, commonly known as droopy eyelids, can seriously impact daily life. Luckily, multiple surgical techniques are available for individual needs.

  • CPT Code 67901: This code refers to the frontalis muscle technique, used to connect the eyelid to the frontalis muscle.
  • CPT Code 67902: When an autologous fascial sling is applied, this code is chosen.
  • CPT Code 67903: Describes the internal approach, which involves strengthening the levator muscle.
  • CPT Code 67904: For the external approach, this code is used.
  • CPT Code 67906: The superior rectus technique with a fascial sling falls under this code.
  • CPT Code 67908: Describes the Fasanella-Servat method, which tightens Muller’s muscle.
  • CPT Code 67909: This code is chosen for correcting overcorrection of ptosis.

Both lid retraction, an abnormally elevated upper eyelid, and lagophthalmos, the inability to close the upper eyelid completely, can result in complications. Here are the codes addressing their treatments:

Ectropion, or sagging of the lower eyelid, can lead to tearing, irritation, and infection. Different techniques are employed for each patient’s needs:

Much like ectropion, entropion also requires tailored surgical techniques. The main CPT codes for these procedures include:

By following this guide, you should have a solid understanding of various eyelid repair procedures and their corresponding CPT codes. Remember that the choice of treatment depends on the patient’s needs, so a proper medical evaluation is necessary.

Billing Examples

Below, we will explore ten distinct case studies illustrating different eyelid repair procedures carried out on various patients. Each example highlights the patient’s issue, the suggested surgical approach, and the relevant CPT code for eyelid repair Procedures.

Example 1: Brow Ptosis Repair

Mrs. Sanders comes in to see her ophthalmologist due to sagging eyebrows. After evaluating her condition, the doctor performs a brow ptosis repair using a mid-forehead approach.

The office would use CPT Code 67900 for Mrs. Sanders’ procedure for billing purposes.

Example 2: Frontalis Muscle Technique Surgery

Mr. Johnson struggles with droopy eyelids, impacting his vision. Upon examination, the surgeon suggests using a frontalis muscle technique.

The billing department records the surgery with CPT Code 67901.

Example 3: Eyelid Retraction Correction Procedure

During her regular check-up, Ms. Diaz mentions issues with lid retraction. The doctor recommends an eyelid retraction correction. The front office team bills the corrective procedure under CPT Code 67911.

Example 4: Platinum Weight Implant

Mr. Adams expresses concern about his inability to close his upper eyelid fully. The ophthalmologist diagnoses him with lagophthalmos and opts for a platinum weight implant. The administrative staff applies CPT Code 67912 for billing.

Example 5: Simple Suture Technique for Ectropion Repair

Ms. Taylor experiences discomfort because of outward-turning lower eyelids. Following a thorough examination, the doctor performs a simple suture technique for ectropion repair.

The billing team records the treatment with CPT Code 67914.

Example 6: Thermocauterization Entropion Repair

Mr. Evans seeks medical help for his inward-turning lower eyelid. The surgeon advises entropion repair using a thermocauterization technique.

The billing department uses CPT Code 67922 to document the surgical procedure.

Example 7: Autologous Fascial Sling for Blepharoptosis

Mrs. Davis notices her eyelids are droopy and consults her ophthalmologist, who recommends blepharoptosis repair using the patient’s fascial tissue.

CPT Code 67902 is applied for the surgery.

Example 8: Overcorrection Reduction Surgery

Ms. Brown complains about her vision being obstructed due to eyelid overcorrection from a previous ptosis surgery. She undergoes an overcorrection reduction procedure, which is billed under CPT Code 67909.

Example 9: Wedge Excision for Entropion

Mr. Anderson suffers from entropion and has a tarsal wedge excision procedure performed. The doctor’s office uses CPT Code 67923 for the entropion repair surgical intervention.

Example 10: Comprehensive Tarsal Strip Ectropion Repair

Mrs. Roberts notices her eyes are constantly watery and irritated due to ectropion. The ophthalmologist performs a comprehensive ectropion repair involving tarsal strip operation, and the billing team enters CPT Code 67917 for the procedure.

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