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The procedure described by CPT® Code 67930 pertains to the surgical repair of a recent wound on the eyelid that involves the lid margin, tarsus, and/or palpebral conjunctiva through direct closure, specifically for partial thickness injuries. The eyelid is a complex structure composed of several layers, including the skin, orbicularis muscle, tarsus, and conjunctiva. When a wound affects more than just the skin layer, a layered closure technique is necessary to ensure proper healing and function. This procedure typically begins with the administration of anesthetic eye drops or other topical anesthetics to minimize discomfort during the repair. A corneal protector is then placed over the eye to safeguard the cornea during the procedure. The wound area is thoroughly cleansed to remove any debris, and any damaged tissue is carefully debrided to prepare for closure. The repair process involves realigning the lid margin using a series of sutures, with specific techniques employed depending on the extent of the injury. For partial thickness injuries, this code is applicable, while a different code (CPT® Code 67935) is used for wounds that penetrate through the entire eyelid. This distinction is crucial for accurate coding and billing purposes.
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The procedure associated with CPT® Code 67930 is indicated for the repair of recent eyelid wounds that involve the lid margin, tarsus, and/or palpebral conjunctiva, specifically when these injuries are classified as partial thickness. The following conditions may warrant this procedure:
The procedure for CPT® Code 67930 involves several critical steps to ensure effective repair of the eyelid wound:
After the completion of the procedure, appropriate post-operative care is essential for optimal recovery. Patients may be advised to avoid rubbing or touching the eye area to prevent disruption of the sutures. Follow-up appointments are typically scheduled to monitor healing and to remove sutures if necessary. Patients may also receive instructions regarding the use of topical antibiotics or other medications to prevent infection and promote healing. It is important to observe for any signs of complications, such as increased redness, swelling, or discharge, which should be reported to a healthcare provider promptly.
| Short Descr | REPAIR EYELID WOUND | Medium Descr | SUTR WND EYELID/MARGIN/TARSUS/CONJUNC PRTL THICK | Long Descr | Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; partial thickness | Status Code | Active Code | Global Days | 010 - Minor Procedure | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 1 - 150% payment adjustment for bilateral procedures applies. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 1 - Statutory payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | ASC Payment Indicator | Office-based surgical procedure added to ASC list in CY 2008 or later with MPFS nonfacility PE RVUs; payment based on MPFS nonfacility PE RVUs. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P4E - Eye procedure - other | MUE | 2 | CCS Clinical Classification | 19 - Other therapeutic procedures on eyelids, conjunctiva, cornea |
| 50 | Bilateral procedure: unless otherwise identified in the listings, bilateral procedures that are performed at the same session, should be identified by adding modifier 50 to the appropriate 5 digit code. note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 78 | Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.) | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | E1 | Upper left, eyelid | E2 | Lower left, eyelid | E3 | Upper right, eyelid | E4 | Lower right, eyelid | GC | This service has been performed in part by a resident under the direction of a teaching physician | GW | Service not related to the hospice patient's terminal condition | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) | SG | Ambulatory surgical center (asc) facility service | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure |
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| Pre-1990 | Added | Code added. |
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