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CPT 67850: Destruction of Eyelid Margin Lesion ≤1 cm
CPT code 67850 designates the destruction of a small eyelid margin lesion (≤1 cm) located between the anterior and posterior lid edges of any eyelid. This concise surgical code captures a common minor ophthalmic procedure used to remove benign or malignant lesions that involve the lid margin, with implications for vision, comfort, and eyelid function. Nationally, accurate coding of eyelid lesion destruction is important for clinical documentation, payer adjudication, and surveillance of ambulatory ophthalmic surgical volumes.
Key payers in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a focused review of the clinical context for 67850, typical sites of service, common payer coverage considerations, and benchmarking topics relevant to outpatient ophthalmic procedures. The publication outlines coding nuances, utilization benchmarks where available, and policy trends that affect payment and prior authorization practices for minor eyelid surgeries.
This report is intended for clinicians, billing professionals, and policy analysts seeking a clear summary of what CPT code 67850 represents, how it is used in practice, and which payers commonly cover these services. Data not available in the input has been noted where applicable.
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Billing Code Overview
CPT code 67850 describes destruction of a small lesion of the eyelid margin no larger than 1 cm, performed on the tissue between the anterior and posterior lid edges of any of the four eyelids. This procedure is a minor ophthalmic surgical intervention focused on removal of localized eyelid lesions.
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Service type: Minor eyelid lesion destruction (outpatient ophthalmic procedure)
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Typical site of service: Ambulatory surgery center, hospital outpatient department, or office-based ophthalmology/oculoplastic clinic