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CPT 67840: Excision of Diseased or Damaged Eyelid, Excluding Chalazion
CPT code 67840 covers surgical excision of diseased or damaged eyelid tissue, excluding chalazion removal, and includes wound closure when required. This procedure is commonly performed to remove neoplastic, degenerative, or traumatic lesions of the eyelid and is clinically significant for preserving ocular function and cosmesis. Nationally, accurate coding of eyelid excisions affects surgical case classification, facility billing, and appropriate allocation of resources for ophthalmologic and oculoplastic services.
Key payers addressed in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context and typical sites of service, common billing modifiers and coding considerations provided in ancillary sections, and references to related procedure groupings. The publication outlines benchmarking approaches and common payer coverage patterns where available, highlights policy and documentation points that influence claim acceptance, and summarizes coding relationships relevant to eyelid surgical services.
Intended for billing managers, surgical providers, and policy analysts, this summary provides a practical national-level reference for CPT code 67840 including what the code represents, where it is typically performed, and which major payers are commonly involved. Data not available in the input is identified where applicable.
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Billing Code Overview
CPT code 67840 describes the surgical excision of a diseased or damaged portion of the eyelid, excluding removal of a chalazion. The procedure includes necessary closure of the wound with sutures when indicated.
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Service type: Eyelid excision (operative procedure)
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Typical site of service: Ambulatory surgical center or hospital outpatient department; may also be performed in an office-based surgical suite depending on clinical setting and facility capabilities.
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