2025 CPT code 67930
Effective Date: N/A Surgery - Surgical Procedures on the Eye and Ocular Adnexa Surgery Feed
Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva, direct closure; partial thickness.
Modifiers 22 (increased procedural services), 50 (bilateral procedure), 52 (reduced services), E1-E4 (eyelid location) are applicable, along with others listed in the source material.
Medical necessity for this procedure is established by the presence of a recent eyelid laceration requiring repair to restore eyelid function and prevent complications such as infection or scarring.
The physician preps and anesthetizes the patient, trims the wound edges if needed, aligns the skin, and closes the wound in layers.The procedure addresses partial-thickness wounds confined to the lid margins, palpebral conjunctiva, or tarsus.
In simple words: Repairing a cut on the eyelid that doesn't go all the way through, involving the edge, lining, or inner support of the eyelid, by stitching it closed.
This code represents the direct closure of a recent, partial-thickness wound of the eyelid involving the lid margin, tarsus (the fibrous tissue supporting the eyelid), and/or palpebral conjunctiva (the membrane lining the eyelid).It involves trimming and aligning the wound edges and suturing in layers.
Example 1: A patient presents with a recent laceration to the upper right eyelid margin following a minor accident. The wound is partial thickness and involves the tarsus. The physician repairs the laceration using 67930-E3., A child sustains a superficial cut to the lower left eyelid involving the palpebral conjunctiva but not extending through the full thickness of the lid.The physician performs a direct closure using 67930-E2., A patient is injured by a paper cut affecting the lid margin of the upper left eyelid. The wound is partial thickness. The physician repairs the wound using 67930-E1.
Documentation should include the location, size, and depth of the laceration; involvement of specific eyelid structures (lid margin, tarsus, palpebral conjunctiva); the repair technique used; and the type of anesthesia administered.
- Revenue Code: P4E - EYE PROCEDURE - OTHER
- Specialties:Ophthalmology, Plastic Surgery
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center, Emergency Room - Hospital