Ophthalmology and Optometry Coding Alert

Reader Questions:

Base Lid Repair Code on Thickness

Question: Our ophthalmologist took a patient into the OR for repair of a lid laceration and cannulization and stent placement for repair of a canalicular laceration. What are the proper CPT codes?

Washington Subscriber

Answer: Depending on the thickness of the repair, report 67930 (Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; partial thickness) or 67935 (... full thickness) for the lid laceration repair.

For the cannulization and stent placement, report 68700 (Plastic repair of canaliculi) and 68815 (Probing of nasolacrimal duct, with or without irrigation; with insertion of tube or stent). CCI does not bundle these services, and you may report them separately.

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