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2025 CPT code 67916

Repair of ectropion by tarsal wedge excision.

Modifiers may be applicable.Modifier 50 (Bilateral Procedure) would be used if the procedure was performed on both eyelids during the same operative session. E1-E4 modifiers would be appended if the procedure is done on the upper left, lower left, upper right or lower right eyelids.

IMPORTANT:Consider 64914 (Repair of ectropion by suture) if the repair is done with sutures only. Consider 64915 (Repair of ectropion by thermocauterization) if thermocauterization is used. Do not report 69990 in addition to codes 65091-68850.

In simple words: This procedure fixes an outward-turned eyelid, a condition called ectropion, which can cause watery and irritated eyes.The surgeon removes a small wedge of tissue from the eyelid and then stitches it closed, turning the eyelid back to its normal position.

This procedure involves the surgical repair of an ectropion (outward turning of the eyelid) using a tarsal wedge excision. The surgeon makes an incision in the lower eyelid, removes a wedge-shaped section of tissue from the tarsus (fibrous connective tissue), and closes the incision with sutures. This corrects the ectropion and alleviates associated symptoms like excessive tearing and irritation.

Example 1: A 65-year-old patient presents with an ectropion of the right lower eyelid, causing excessive tearing and corneal irritation. The surgeon performs a tarsal wedge excision (67916) to correct the ectropion., A patient with involutional ectropion and exposure keratitis undergoes a tarsal wedge excision to repair the ectropion and protect the cornea., Following trauma to the lower eyelid, a patient develops cicatricial ectropion. The surgeon performs a tarsal wedge excision to release the scar tissue and reposition the eyelid.

Document the diagnosis (e.g., involutional ectropion, cicatricial ectropion), the severity of the ectropion, any associated symptoms (e.g., epiphora, corneal irritation), the surgical technique used (tarsal wedge excision), the size and location of the wedge excised, and the closure method.

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