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Official Description

Conjunctivoplasty; with conjunctival graft or extensive rearrangement

© Copyright 2026 American Medical Association. All rights reserved.

Common Language Description

Conjunctivoplasty is a surgical procedure aimed at addressing various conditions affecting the conjunctiva, which is the thin, transparent membrane covering the white part of the eye and the inner surface of the eyelids. This procedure is particularly indicated for issues such as redundant conjunctiva, which refers to excess tissue that may cause discomfort or visual obstruction, lesions of the conjunctiva that may be benign or malignant, and hyperemia, characterized by the dilation of conjunctival blood vessels leading to redness and irritation. During conjunctivoplasty, a subconjunctival injection may be administered to elevate the conjunctiva away from the underlying sclera, facilitating better access to the affected area. The surgical approach involves excising the redundant or abnormal conjunctival tissue, followed by either extensive rearrangement of the remaining conjunctiva or the application of a conjunctival graft harvested from the contralateral eye. In cases where rearrangement is performed, one or more conjunctival flaps are meticulously configured, raised, and repositioned over the sclera, and these flaps are secured in place using sutures or tissue adhesive. Alternatively, if a graft is utilized, the procedure includes careful harvesting of conjunctival tissue from the donor site, which is typically marked and prepared with local anesthesia, ensuring minimal discomfort for the patient. The graft is then precisely placed over the defect created during the procedure, promoting healing and restoration of the conjunctival surface.

© Copyright 2026 Coding Ahead. All rights reserved.

1. Indications

The conjunctivoplasty procedure is indicated for several specific conditions affecting the conjunctiva, which may include:

  • Redundant Conjunctiva Excess conjunctival tissue that may lead to discomfort or visual obstruction.
  • Lesions of the Conjunctiva Abnormal growths or changes in the conjunctival tissue that may be benign or malignant.
  • Hyperemia of Conjunctival Blood Vessels Dilation of blood vessels in the conjunctiva, resulting in redness and irritation.

2. Procedure

The conjunctivoplasty procedure involves several detailed steps to ensure effective treatment of the conjunctival condition:

  • Step 1: Subconjunctival Injection A subconjunctival injection may be administered to elevate the conjunctiva off the sclera, providing better access to the surgical site.
  • Step 2: Excision of Abnormal Tissue The surgeon excises the redundant or abnormal conjunctival tissue, preparing the area for reconstruction.
  • Step 3: Conjunctival Rearrangement or Grafting The remaining conjunctiva is either rearranged or a conjunctival graft is harvested from the contralateral eye. If rearrangement is chosen, one or more conjunctival flaps are configured, raised, and repositioned over the sclera.
  • Step 4: Securing the Flap The flap is secured in place using sutures or tissue glue to ensure stability during the healing process.
  • Step 5: Harvesting the Graft If a conjunctival graft is used, the donor site is marked, and the conjunctiva is elevated with a subconjunctival injection of balanced salt solution and local anesthetic. The lateral borders of the graft are incised radially, and the tissue is undermined using blunt dissection.
  • Step 6: Graft Placement The excised conjunctival graft, which may include superficial epithelial corneal tissue, is placed over the defect created in the opposite eye.
  • Step 7: Donor Site Management The donor site may be left to heal by secondary intention, or the conjunctiva may be advanced to cover part of the donor site to minimize pain and inflammation.

3. Post-Procedure

After the conjunctivoplasty procedure, patients can expect specific post-operative care and considerations. The surgical site will require monitoring for signs of infection or complications. Patients may experience some discomfort, redness, or swelling in the treated area, which is typically managed with prescribed medications. Follow-up appointments are essential to assess healing and ensure that the graft or rearranged conjunctiva is integrating properly. The surgeon may provide specific instructions regarding activity restrictions, eye care, and the use of topical medications to promote healing and prevent complications.

Short Descr REVISE/GRAFT EYELID LINING
Medium Descr CONJUNCTIVOPLASTY W/GRF/XTNSV REARRANGEMENT
Long Descr Conjunctivoplasty; with conjunctival graft or extensive rearrangement
Status Code Active Code
Global Days 090 - Major Surgery
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) 1 - Co-surgeons could be paid, though supporting documentation is required...
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 Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight.
Type of Service (TOS) 2 - Surgery
Berenson-Eggers TOS (BETOS) P4E - Eye procedure - other
MUE 1
CCS Clinical Classification 19 - Other therapeutic procedures on eyelids, conjunctiva, cornea
LT Left side (used to identify procedures performed on the left side of the body)
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).
RT Right side (used to identify procedures performed on the right side of the body)
SG Ambulatory surgical center (asc) facility service
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.)
E4 Lower right, eyelid
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.
E2 Lower left, eyelid
22 Increased procedural services: when the work required to provide a service is substantially greater than typically required, it may be identified by adding modifier 22 to the usual procedure code. documentation must support the substantial additional work and the reason for the additional work (ie, increased intensity, time, technical difficulty of procedure, severity of patient's condition, physical and mental effort required). note: this modifier should not be appended to an e/m service.
24 Unrelated evaluation and management service by the same physician or other qualified health care professional during a postoperative period: the physician or other qualified health care professional may need to indicate that an evaluation and management service was performed during a postoperative period for a reason(s) unrelated to the original procedure. this circumstance may be reported by adding modifier 24 to the appropriate level of e/m service.
52 Reduced services: under certain circumstances a service or procedure is partially reduced or eliminated at the discretion of the physician or other qualified health care professional. under these circumstances the service provided can be identified by its usual procedure number and the addition of modifier 52, signifying that the service is reduced. this provides a means of reporting reduced services without disturbing the identification of the basic service. note: for hospital outpatient reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well-being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use).
54 Surgical care only: when 1 physician or other qualified health care professional performs a surgical procedure and another provides preoperative and/or postoperative management, surgical services may be identified by adding modifier 54 to the usual procedure number.
55 Postoperative management only: when 1 physician or other qualified health care professional performed the postoperative management and another performed the surgical procedure, the postoperative component may be identified by adding modifier 55 to the usual procedure number.
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.
76 Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service.
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.)
CR Catastrophe/disaster related
E1 Upper left, eyelid
E3 Upper right, eyelid
ET Emergency services
GA Waiver of liability statement issued as required by payer policy, individual case
GC This service has been performed in part by a resident under the direction of a teaching physician
GT Via interactive audio and video telecommunication systems
GW Service not related to the hospice patient's terminal condition
XS Separate structure, a service that is distinct because it was performed on a separate organ/structure
XU Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service
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