2025 CPT code 67935
Effective Date: N/A Surgery - Surgical Procedures on the Eye and Ocular Adnexa Feed
Suture of recent full-thickness wound of the eyelid, involving the lid margin, tarsus, and/or palpebral conjunctiva, using direct closure.
Modifiers such as 22 (increased procedural services), 52 (reduced services), and others may be applicable depending on the circumstances of the procedure. Modifiers E1-E4 are informational modifiers for specifying the location of the eyelid.
Medical necessity is established by the presence of a full-thickness eyelid laceration requiring repair to restore eyelid function and prevent complications.
The physician preps and anesthetizes the patient, trims the wound edges if needed, aligns the skin edges, and closes the wound in layers.
In simple words: The doctor closes a recent, deep wound that goes completely through the eyelid.This may involve the eyelid edge, the firm tissue supporting the eyelid, and/or the membrane lining the eyelid. The wound is closed with stitches in layers.
This code describes the repair of a recent, full-thickness wound of the eyelid.The procedure involves direct closure of the wound and may include the lid margin, tarsus (the fibrous connective tissue supporting the eyelid), and/or palpebral conjunctiva (the membrane lining the eyelid). The repair is performed in layers.
Example 1: A patient presents with a full-thickness laceration of the right upper eyelid involving the lid margin and tarsus following a dog bite., A child has a full-thickness cut through their left lower eyelid and palpebral conjunctiva after falling on a sharp object., An adult sustains a full-thickness eyelid injury during a motor vehicle accident, requiring repair of the lid margin and conjunctiva.
Documentation should include the cause, location, and depth of the wound, involvement of the lid margin, tarsus, and/or conjunctiva, and the repair technique used.
- Revenue Code: P4E - EYE PROCEDURE - OTHER
- Specialties:Ophthalmology, Plastic Surgery
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center