2025 CPT code 67921
(Active) Effective Date: N/A Surgery - Surgical Procedures on the Eye and Ocular Adnexa Feed
Repair of entropion; suture
Modifiers may be applicable to indicate laterality (e.g., -E1, -E2 for left eyelid), bilaterality (-50), or other specific circumstances.
Medical necessity for 67921 is established by documenting the presence of entropion causing symptoms such as corneal irritation, abrasion, or ulceration, excessive tearing, or discomfort. Conservative treatments may be attempted before resorting to surgery.
The physician preps and anesthetizes the patient, then strategically places absorbable sutures through the conjunctiva (membrane lining the eyelids), engaging the lower lid retractors and tying them on the skin side to evert the eyelid margin.
In simple words: This procedure fixes an inturned eyelid using stitches. The stitches help turn the eyelid outwards, preventing the eyelashes from rubbing against the eye and causing irritation.
Surgical repair of an entropion (inward turning of the eyelid) using sutures. This procedure involves placing sutures to reposition the eyelid and alleviate symptoms like tearing and irritation.
Example 1: A patient presents with involutional entropion of the lower eyelid causing corneal irritation and excessive tearing. The physician performs 67921 to correct the entropion using sutures., A patient develops spastic entropion following cataract surgery.To provide immediate relief and correct the eyelid position, the physician performs a suture repair using Quickert sutures (67921)., A patient with cicatricial entropion (scarring of the eyelid causing it to turn inward) requires surgical intervention. In addition to other procedures, Quickert sutures (67921) are utilized to evert and stabilize the eyelid margin.
Documentation should include the type of entropion (involutional, cicatricial, spastic, congenital), the severity of symptoms (e.g., corneal irritation, tearing), the location (e.g., right lower eyelid), the surgical technique used (e.g., Quickert sutures), and any complications.
- Specialties:Ophthalmology, Oculoplastic Surgery
- Place of Service:Ambulatory Surgical Center, Office, Outpatient Hospital