2025 CPT code 67882
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Eye and Ocular Adnexa Surgery Feed
Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy with tarsal plate transposition.
Modifiers E1 (upper left eyelid), E2 (lower left eyelid), E3 (upper right eyelid), and E4 (lower right eyelid) may be used to specify the eyelid(s) involved. Other modifiers may be applicable depending on the circumstances of the procedure (e.g., 50 for bilateral procedure, 59 for distinct procedural service).
Medical necessity is established when the procedure is performed to treat or prevent a condition that poses a threat to corneal health, such as severe dry eye, corneal exposure, or blepharospasm. The procedure must be medically necessary to protect the cornea from further damage or to improve the patient's quality of life.
The ophthalmologist or oculoplastic surgeon is responsible for pre-operative assessment, patient preparation, anesthesia administration (if applicable), surgical procedure, postoperative care, and follow-up.
- Surgery
- Surgical Procedures on the Eye and Ocular Adnexa > Procedures on the Eyelids > Tarsorrhaphy Procedures on the Eyelids
In simple words: The surgeon stitches the inner edges of the eyelids together, either partially or completely, to help the cornea heal from injury or illness.This involves removing some eyelid tissue and repositioning a supporting structure within the eyelid.
This CPT code encompasses the surgical construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy, which involves excising the inner edges of the eyelids and suturing them together, partially or fully, at the middle or corners.The procedure includes the transposition of the tarsal plate for improved eyelid closure. This technique is often used to protect the cornea from damage or disease.
Example 1: A patient presents with severe dry eye disease and corneal exposure.A median tarsorrhaphy with tarsal plate transposition is performed to protect the cornea and promote healing., A patient sustains a significant eyelid laceration resulting in exposure keratopathy. Intermarginal adhesions are created to close the eyelids temporarily, facilitating corneal healing., A patient with severe blepharospasm (involuntary eyelid spasms) undergoes a canthorrhaphy to partially reduce eyelid opening and alleviate discomfort. This includes tarsal plate transposition.
* Detailed history and physical examination documenting the indication for the procedure (e.g., corneal exposure, severe dry eye, blepharospasm).* Preoperative photographs of the eyelids.* Operative report detailing the specific procedure performed (intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy), including the transposition of the tarsal plate.* Postoperative photographs of the eyelids.* Documentation of postoperative care and follow-up appointments.
** This procedure may be performed under local or general anesthesia, depending on the patient's condition and the surgeon's preference.The extent of the procedure (partial or complete eyelid closure) is determined by the clinical needs of the patient. Postoperative care typically includes instructions on maintaining eyelid hygiene and monitoring for complications.
- Revenue Code: P4E (EYE PROCEDURE - OTHER)
- RVU: Information not available in provided sources. Consult AMA CPT codes for RVU data.
- Global Days: Information not available in provided sources.The global period will vary depending on payer and specific circumstances of the procedure.
- Payment Status: Active
- Modifier TC rule: Information not provided in sources. The application of a technical component (TC) modifier is dependent on payer guidelines and specific circumstances of the procedure. Consult payer guidelines.
- Fee Schedule: Information not available in provided sources.Consult payer-specific fee schedules for historical data.
- Specialties:Ophthalmology, Oculoplastic Surgery
- Place of Service:Office, Ambulatory Surgery Center, Hospital (Inpatient or Outpatient)