2025 CPT code 67923

Repair of entropion; excision tarsal wedge.

Do not report 69990 in addition to codes 65091-68850 when performed on the same eye.

Modifiers may be applicable to indicate laterality (e.g., -E1 for upper left eyelid, -E2 for lower left eyelid), bilateral procedures (-50), or other circumstances impacting the service provided.

Medical necessity must be established by documenting the symptoms and clinical findings related to the entropion, such as corneal irritation, excessive tearing, and potential for corneal damage. The documentation should clearly indicate that the entropion is causing functional impairment or posing a threat to the patient's vision.

The physician prepares and anesthetizes the patient, performs the wedge excision of tarsal tissue and muscle, and closes the surgical site with sutures.

IMPORTANT For repair of entropion using sutures, use 67921. For repair using thermocauterization, use 67922. For extensive repairs, use 67924.

In simple words: This procedure fixes an inward-turning lower eyelid (entropion) that causes the eyelashes to rub against the eye.The surgeon removes a small wedge of tissue from the eyelid to reposition it correctly, relieving irritation and preventing potential eye damage. The incision is then stitched up.

This procedure involves the surgical repair of an entropion, the inward turning of the eyelid, by excising a wedge-shaped piece of tarsal tissue and orbicularis muscle.The incision is made in the lower eyelid, and the removed tissue helps to correct the entropic rotation.The corners of the excision site are then brought together and sutured closed.

Example 1: A 70-year-old patient with an inward-turning lower eyelid causing corneal irritation and excessive tearing undergoes entropion repair with tarsal wedge excision (67923)., A 55-year-old patient with a history of scarring on the lower eyelid develops entropion.Tarsal wedge excision (67923) is performed to correct the eyelid position and prevent further corneal damage., A patient with entropion causing discomfort and the potential for corneal abrasion undergoes a tarsal wedge excision (67923) to reposition the eyelid.

Documentation should include the diagnosis of entropion, description of the surgical technique (tarsal wedge excision), size of the wedge excised, and closure method. Preoperative and postoperative photographs are also beneficial.

  • Specialties:Ophthalmology, Oculoplastic Surgery
  • Place of Service:Ambulatory Surgical Center, Hospital Outpatient Department, Physician's Office
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