2025 CPT code 67917
Effective Date: N/A Surgery - Surgical Procedures on the Eye and Ocular Adnexa Surgery Feed
Repair of ectropion, extensive (e.g., Kuhnt-Szymanowski or tarsal strip operations).
Modifiers may be applicable. Refer to current CPT guidelines for appropriate modifier usage.
Medical necessity for 67917 must be established by documenting the functional impairment caused by the ectropion, such as corneal exposure, excessive tearing, or impaired vision.
The physician performs the surgical repair, including incision, cauterization, suturing, and ensuring proper eyelid height and contour.
In simple words: This procedure fixes a droopy lower eyelid that turns outwards. The doctor makes a small cut, adjusts the eyelid tissues with stitches, and then closes the cut.
Extensive repair of an ectropion, an outward turning of the lower eyelid and eyelashes, often causing excessive tearing and eye irritation.The procedure involves an incision in the lower lid, cauterization of blood vessels, exposure of the lateral orbital rim periosteum, and manipulation of the tarsus using non-absorbable sutures to correct the eyelid malposition.
Example 1: A patient presents with severe ectropion of the right lower eyelid causing constant tearing and corneal irritation.The ectropion is corrected using a tarsal strip procedure (67917)., Following facial trauma, a patient develops an ectropion requiring extensive surgical repair with a Kuhnt-Szymanowski procedure (67917)., An elderly patient with bilateral ectropion undergoes a tarsal strip procedure on the left lower eyelid (67917) to address symptomatic turning out of the eyelid.
Documentation should include the severity of the ectropion, the specific surgical technique employed (e.g., Kuhnt-Szymanowski, tarsal strip), any associated conditions, and the postoperative outcome.
- Revenue Code: P4E - EYE PROCEDURE - OTHER
- Specialties:Ophthalmology, Oculoplastic Surgery
- Place of Service:Ambulatory Surgical Center, Hospital Outpatient Department, Physician's Office