2025 CPT code 67912
(Active) Effective Date: N/A Revision Date: Oct 1, 2023 Surgery - Surgical Procedures on the Eye and Ocular Adnexa Surgery Feed
Correction of lagophthalmos by implanting an upper eyelid load (e.g., gold weight).
Modifiers 50 (bilateral procedure) and others as clinically indicated may be applied.
Medical necessity is established when conservative treatments for lagophthalmos have failed and the condition poses a risk of corneal damage or vision loss due to inadequate eyelid closure. Documentation must clearly support functional impairment.
The ophthalmologist or oculoplastic surgeon is responsible for performing the procedure, including prepping the patient, making the incisions, placing the implant, suturing, and post-operative care.
In simple words: This surgery fixes a problem where the eyelids don't close completely.The doctor inserts a small weight (usually gold) onto the upper eyelid to help it close properly using gravity.
This procedure corrects lagophthalmos, a condition where the eyelids cannot fully close, by surgically implanting a weight (often gold) onto the upper eyelid to facilitate closure via gravity.The process involves prepping and anesthetizing the patient, placing a traction suture, incising the eyelid crease, dissecting to expose the tarsus, positioning the weight on the superior tarsal surface, suturing it in place, closing the orbicularis oculi muscle over the implant, removing the traction suture, closing the skin incision, and applying antibiotic ointment and a double eye pad.
Example 1: A patient with Bell's palsy experiences incomplete eyelid closure (lagophthalmos), leading to corneal exposure and dryness.Surgical implantation of a gold weight corrects the eyelid position, protecting the cornea., A patient with severe facial nerve damage following trauma presents with persistent lagophthalmos.The surgeon uses CPT code 67912 to place a gold weight implant, improving eyelid closure and preventing corneal damage., A patient with Graves' ophthalmopathy has significant eyelid retraction, causing exposure keratopathy.Surgical correction involves eyelid load implantation using CPT code 67912, alleviating corneal issues.
Preoperative assessment including detailed history and physical examination, focusing on the degree of lagophthalmos, corneal status, and any associated conditions. Intraoperative notes specifying the type of implant used, the location of placement, and surgical techniques. Post-operative notes detailing healing, corneal status, and any complications.Imaging (optional) may include photographs of the eyelid before and after surgery.
** Medicare and many other payers typically include the cost of the gold weight in the procedure fee.HCPCS code L8610 can be used for separate reporting of supplies if permitted by the payer.
- Revenue Code: P4E (EYE PROCEDURE - OTHER)
- Payment Status: Active
- Modifier TC rule: Technical component (TC) modifier does not apply to this code.
- Specialties:Ophthalmology, Oculoplastic Surgery
- Place of Service:Office, Ambulatory Surgery Center (ASC), Hospital (Inpatient or Outpatient)