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2025 CPT code 67850

Destruction of lesion of lid margin (up to 1 cm)

Modifiers E1-E4 can be used to indicate the specific eyelid involved (E1: upper left, E2: lower left, E3: upper right, E4: lower right). These modifiers are informational and do not impact reimbursement.

Modifiers 22, 47, 50-59, 73, 74, 76-79, 99, E1, E2, E3, E4, and others can apply.

Medical necessity must be established for this procedure. This typically involves demonstrating that the lesion is causing symptoms, is a cosmetic concern significantly impacting the patient's quality of life, or poses a risk of becoming malignant.

The physician performs the procedure under local anesthesia, prepares the surgical site, and then destroys the lesion using the chosen method.Post-procedure care may include applying antibiotic ointment.

IMPORTANT For removal of lesions involving mainly skin of eyelid, see 11310-11313; 11440-11446, 11640-11646; 17000-17004. For repair of wounds, blepharoplasty, grafts, reconstructive surgery, see 67930-67975. For diagnostic and treatment ophthalmological services, see Medicine, Ophthalmology, and 92002 et seq. Do not report code 69990 in addition to codes 65091-68850.

In simple words: This procedure involves removing a small growth or sore on the edge of the eyelid using techniques like freezing, burning, or a laser.

Destruction of lesion of lid margin (up to 1 cm). This code is used for the destruction of a lesion on the eyelid margin, involving more than just the skin (e.g., lid margin, tarsus, palpebral conjunctiva). The destruction may be performed using methods like laser, diathermy, or cryotherapy.It does not include Mohs micrographic surgery (17311-17315) or topical chemotherapy follow-up (use appropriate office visit codes).

Example 1: A patient presents with a small, benign lesion on the margin of the right upper eyelid. The physician destroys the lesion using cryotherapy., A patient has a premalignant lesion (less than 1 cm) on the lower left eyelid margin, involving the tarsus. The lesion is destroyed using laser ablation., A patient has a small, malignant lesion affecting the palpebral conjunctiva of the left lower eyelid.The physician performs destruction of the lesion with diathermy.

Documentation should include the size and location of the lesion, the method of destruction used, and any involvement of structures beyond the skin of the eyelid (e.g., lid margin, tarsus, palpebral conjunctiva). The medical necessity for the procedure should also be documented.

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