2025 CPT code 67924
Effective Date: N/A Surgery - Surgical Procedures on the Eye and Ocular Adnexa Feed
Extensive repair of entropion (e.g., tarsal strip or capsulopalpebral fascia repairs).
Modifiers may be applicable. Common modifiers include: -22 (Increased Procedural Services), -50 (Bilateral Procedure), -52 (Reduced Services), E1-E4 (Eyelid modifiers). Check payer guidelines for other applicable modifiers.
Medical necessity for 67924 is established when the entropion is causing functional visual impairment or corneal damage due to the inward turning eyelid and rubbing eyelashes. Documentation should support the severity of the condition and the need for surgical intervention.
The physician performs the surgical repair, including prepping and anesthetizing the patient, making incisions, placing sutures, debriding tissue, and closing the incision. They also assess the patient's condition, determine the appropriate surgical technique, and provide post-operative care.
In simple words: This procedure fixes an eyelid that turns inward, causing the eyelashes to rub against the eye. The surgeon makes a small cut in the eyelid, tightens it with stitches, and removes any damaged tissue. This prevents irritation and potential eye damage.
This procedure involves extensive repair of an entropion, which is an inward turning of the eyelid (usually lower) and eyelashes toward the eye. The procedure addresses the inward turning eyelid and returns it to a normal position. It often involves making an incision in the lower lid, placing deep sutures through the tarsal strip to repair the eyelid and correct the entropic rotation, attaching part of the tarsus at the lateral orbital tubercle, and debriding the conjunctival epithelium. The incision is then closed with sutures. Other methods include eyelid tightening and retractor reinsertion.
Example 1: An elderly patient presents with an inward turning lower eyelid causing corneal irritation and excessive tearing. The ophthalmologist performs an extensive repair of the entropion using a tarsal strip procedure (67924) to correct the eyelid position., Following trauma to the eyelid, a patient develops cicatricial entropion. The surgeon performs an extensive repair involving capsulopalpebral fascia reconstruction (67924) to address the scarring and malpositioned eyelid., A patient with a history of multiple entropion repairs experiences recurrence. The ophthalmologist performs a complex revision procedure involving retractor reinsertion (67924) to stabilize the eyelid and prevent further turning in.
Documentation should include the patient's history, examination findings (including degree of entropion, corneal involvement, and associated symptoms), surgical technique used (e.g., tarsal strip, capsulopalpebral fascia repair, retractor reinsertion), and any complications encountered.
- Revenue Code: P4E - EYE PROCEDURE - OTHER
- Specialties:Ophthalmology, Oculoplastic Surgery
- Place of Service:Ambulatory Surgical Center, Hospital Outpatient, Physician's Office