CPT 67912: Upper Eyelid Lid Weight Placement for Lagophthalmos

Medicare pays $929 on average nationally for this procedure.

CPT code 67912 describes surgical placement of a lid weight (upper eyelid load) to correct lagophthalmos by using gravity to assist eyelid closure; this procedure is an ocular plastic surgery service typically performed in an ambulatory surgery center or outpatient ophthalmic surgery setting for patients with inadequate eyelid closure.

For related coverage guidance, see recent payer policy updates: Evaluation of Dry Eyes, Evaluation of Dry Eyes, Ophthalmic Prostaglandin Analog Prior Authorization Criteria.

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CPT 67912: Upper Eyelid Lid Weight Placement for Lagophthalmos

Medicare pays $929 on average nationally for this procedure.

For related coverage guidance, see recent payer policy updates: Evaluation of Dry Eyes, Evaluation of Dry Eyes, Ophthalmic Prostaglandin Analog Prior Authorization Criteria.

Customize your policy alerts

Sign up for cpt 67912 policy alerts

Get alerted when payer policies referencing 67912 are released or updated.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Clinical & Coding Specifications

Clinical Context

A typical patient is an adult with incomplete eyelid closure (lagophthalmos) causing exposure keratopathy, recurrent corneal epithelial defects, or symptomatic dryness and irritation. The patient often presents to an oculoplastic surgeon or ophthalmologist after conservative treatments (lubricating drops, nightly tape, moisture goggles) fail or when there is a paralytic cause (e.g., facial nerve palsy), traumatic eyelid retraction, or progressive cicatricial disease. Preoperative evaluation includes detailed ophthalmic exam with visual acuity, slit lamp assessment of corneal exposure, eyelid function testing, measurement of palpebral fissure and lagophthalmos, photographic documentation, and counseling about goals (improved closure, symptom relief) and risks (infection, implant migration, ptosis). The procedure is performed in an ambulatory surgery center or hospital outpatient operating room under monitored anesthesia care or general anesthesia depending on patient factors. The surgeon inserts a weight or lid load (usually a gold or platinum implant) into the upper eyelid tarsal plate via a small incision, secures the implant, closes the wound, and confirms satisfactory passive closure by gravity. Postoperative care includes topical antibiotics, lubrication, brief activity restrictions, follow-up visits to assess wound healing and implant position, and possible suture adjustment or removal if needed. Documentation should include indication, prior conservative management, details of implant type/weight, anesthesia, laterality, estimated blood loss, complications (if any), and postoperative instructions.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`67800`	Repair of brow ptosis (suprabrow, external approach)	Performed when brow ptosis contributes to eyelid malposition; may be done concurrently or staged.
`67900`	Tarsorrhaphy, temporary or permanent	Alternative or adjunct procedure for exposure keratopathy when eyelid loading is not appropriate.
`68761`	Removal of implant from eyelid or orbit	Used if lid weight implant requires removal due to migration, extrusion, or infection.
`64723`	Neuroplasty and/or transposition procedures (e.g., facial nerve repair)	Performed when underlying facial nerve dysfunction is addressed surgically, may precede or follow lid loading.
`66984`	Cataract removal with intraocular lens (ICD unrelated but commonly co-managed)	Not directly related surgically but often performed by the same ophthalmic surgical team; included when multiple ocular procedures are coordinated.

Related Modifiers

8 rows

Modifier	Description	When to Use
26	Modifier 26 (Professional Component) identifies and bills only the professional portion of a split service — the physician’s interpretation, report, and medical judgment — when the technical…	- Use CPT Modifier -26 when you are billing only the professional component (PC) of a split‑bill eligible service—i.e., you performed the physician interpretation, medical judgment and prepared a…
50	Modifier –50 (Bilateral Procedure) is appended to a CPT code when an identical procedure is performed on paired anatomical structures during the same operative session. The AMA states to add…	- Use modifier -50 when the same CPT surgical, diagnostic, or radiology procedure is performed on paired anatomical structures (both sides of the body) during the same operative/session by the same…
51	Modifier –51 (Multiple Procedures) is used when the same provider performs multiple procedures in the same session to identify secondary, non‑exempt procedures and indicate payment reduction logic…	- Use modifier -51 when the same provider performs multiple distinct procedures during the same patient encounter: report the highest‑valued procedure first (no modifier) and append -51 to…
52	Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…	- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
53	Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…	- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
63	Modifier‑63 is appended to surgical CPT codes (20000–69990) when a procedure is performed on a neonate or infant weighing ≤ 4 kg (about 8.8 lbs). The AMA/AAPC definition specifies this use and notes…	- Use modifier -63 only for surgical procedures in the CPT 20000–69990 series performed on a neonate or infant who weighs ≤ 4 kg at the time of the procedure; it indicates increased complexity due to…
78	CPT modifier -78 indicates an unplanned, related return to the operating or procedure room by the same provider during the global postoperative period. It is appended when treatment for a…	- Use modifier -78 when an unplanned, related complication during the original procedure’s global postoperative period requires the patient to return to a formal operating or procedure room and the…
79	Modifier 79 indicates a surgical procedure performed during the postoperative global period of a prior surgery that is unrelated to the original procedure. Per AMA/CPT and CMS guidance, it is…	- Use modifier 79 when the same physician (or same‑specialty physician in the same group) performs a surgical procedure during the postoperative global period of a prior surgery and the new procedure…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
207W00000X	Ophthalmology Physician	An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically train…
2080P0205X	Pediatric Endocrinology Physician	A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands…
363L00000X	Nurse Practitioner	(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision mak…
261QU0200X	Urgent Care Clinic/Center	Ambulatory Health Care Facilities · Clinic/Center
225CA2400X	Assistive Technology Practitioner Rehabilitation Counselor	Respiratory, Developmental, Rehabilitative and Restorative Service Providers · Rehabilitation Counselor
207VX0000X	Obstetrics Physician	A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions.
163WH0500X	Hemodialysis Registered Nurse	Nursing Service Providers · Registered Nurse
261QR1100X	Research Clinic/Center	Ambulatory Health Care Facilities · Clinic/Center

Related ICD-10-CM Codes

22 rows

ICD-10-CM Code	Description
G51.0	Bell's palsy
G51.9	Disorder of facial nerve, unspecified
G54.0	Brachial plexus disorders
G54.8	Other nerve root and plexus disorders
H01.001	Unspecified blepharitis right upper eyelid
H01.002	Unspecified blepharitis right lower eyelid
H01.003	Unspecified blepharitis right eye, unspecified eyelid
H02.401	Unspecified ptosis of right eyelid
H02.402	Unspecified ptosis of left eyelid
H02.403	Unspecified ptosis of bilateral eyelids

Showing 1–10 of 22

Related Payer Policy Updates

Specialty: Ophthalmology/Optometry1 / 3

10 rows

Policy	Payer	Effective Date
Evaluation of Dry Eyes	Oscar Health	2026-10-01
Evaluation of Dry Eyes	Blue Cross Blue Shield - New Mexico	2026-09-04
Ophthalmic Prostaglandin Analog Prior Authorization Criteria	medimpact	2026-09-01
revakinagene taroretcel-lwey (Encelto) coverage for idiopathic macular telangiectasia (MacTel) type 2	blue cross blue shield - louisiana	2026-09-01
Glaucoma Prostaglandins	Cigna	2026-08-15
Corneal Cross‑linking (CXL) Procedure	husky_health	2026-08-01
Corneal surgical procedures (excluding corneal collagen cross-linking)	husky_health	2026-08-01
Intracanalicular and Intravitreal Corticosteroid Implants	UnitedHealthcare	2026-08-01
Eye Optical Coherence Tomography	Premera Bluecross	2026-08-01
Encelto (Revakinagene Taroretcel-Lwey) implant — coverage criteria	Colorado Rocky Mountain Health Plans	2026-08-01

Related Codes

CPT-67900-BROW-REPAIR-FOR-PTOSIS

CPT 67900: Brow Ptosis (Drooping Eyebrow) Repair

CPT-67901-FRONTALIS-SUSPENSION-PTOSIS-REPAIR

CPT 67901: Frontalis Sling for Ptosis Repair

CPT-67902-FRONTALIS-SLING-EYELID-PTOSIS-REPAIR-WITH-GRAFT

CPT 67902: Frontalis Sling with Tissue Graft for Ptosis Repair

CPT-67903-LEVATOR-RESECTION-INTERNAL-APPROACH-PTOSIS-REPAIR

CPT 67903: Levator Tightening for Ptosis (Transconjunctival)

CPT-67904-LEVATOR-REPAIR-PTOSIS-OUTER-APPROACH

CPT 67904: Levator Muscle Repair for Ptosis

CPT-67906-PTOSIS-REPAIR-SUPERIOR-RECTUS-SUSPENSION-WITH-GRAFT

CPT 67906: Levator/Superior Rectus Transposition with Tissue Graft

CPT-67908-FASANELLA-SERVAT-PTOSIS-REPAIR-OCULOPLASTIC-SURGERY

CPT 67908: Levator/Müller Resection with Tarsoconjunctival Repair for Ptosis

CPT-67909-PTOSIS-REVISION-REPAIR-LEVATOR-TENSION-REDUCTION

CPT 67909: Revision of Prior Ptosis Repair, Reduce Muscle Tension

CPT-67911-EYELID-RETRACTION-CORRECTION

CPT 67911: Correction of Eyelid Retraction

CPT-67914-ECTROPION-REPAIR-LOWER-EYELID-SUTURE-REPAIR

CPT 67914: Lower Eyelid Ectropion Repair with Sutures

Showing 1–10 of 17

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

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Clinical & Coding Specifications

Clinical Context

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`67800`	Repair of brow ptosis (suprabrow, external approach)	Performed when brow ptosis contributes to eyelid malposition; may be done concurrently or staged.
`67900`	Tarsorrhaphy, temporary or permanent	Alternative or adjunct procedure for exposure keratopathy when eyelid loading is not appropriate.
`68761`	Removal of implant from eyelid or orbit	Used if lid weight implant requires removal due to migration, extrusion, or infection.
`64723`	Neuroplasty and/or transposition procedures (e.g., facial nerve repair)	Performed when underlying facial nerve dysfunction is addressed surgically, may precede or follow lid loading.
`66984`	Cataract removal with intraocular lens (ICD unrelated but commonly co-managed)	Not directly related surgically but often performed by the same ophthalmic surgical team; included when multiple ocular procedures are coordinated.

Related Modifiers

8 rows

Modifier	Description	When to Use
26	Modifier 26 (Professional Component) identifies and bills only the professional portion of a split service — the physician’s interpretation, report, and medical judgment — when the technical…	- Use CPT Modifier -26 when you are billing only the professional component (PC) of a split‑bill eligible service—i.e., you performed the physician interpretation, medical judgment and prepared a…
50	Modifier –50 (Bilateral Procedure) is appended to a CPT code when an identical procedure is performed on paired anatomical structures during the same operative session. The AMA states to add…	- Use modifier -50 when the same CPT surgical, diagnostic, or radiology procedure is performed on paired anatomical structures (both sides of the body) during the same operative/session by the same…
51	Modifier –51 (Multiple Procedures) is used when the same provider performs multiple procedures in the same session to identify secondary, non‑exempt procedures and indicate payment reduction logic…	- Use modifier -51 when the same provider performs multiple distinct procedures during the same patient encounter: report the highest‑valued procedure first (no modifier) and append -51 to…
52	Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…	- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
53	Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…	- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
63	Modifier‑63 is appended to surgical CPT codes (20000–69990) when a procedure is performed on a neonate or infant weighing ≤ 4 kg (about 8.8 lbs). The AMA/AAPC definition specifies this use and notes…	- Use modifier -63 only for surgical procedures in the CPT 20000–69990 series performed on a neonate or infant who weighs ≤ 4 kg at the time of the procedure; it indicates increased complexity due to…
78	CPT modifier -78 indicates an unplanned, related return to the operating or procedure room by the same provider during the global postoperative period. It is appended when treatment for a…	- Use modifier -78 when an unplanned, related complication during the original procedure’s global postoperative period requires the patient to return to a formal operating or procedure room and the…
79	Modifier 79 indicates a surgical procedure performed during the postoperative global period of a prior surgery that is unrelated to the original procedure. Per AMA/CPT and CMS guidance, it is…	- Use modifier 79 when the same physician (or same‑specialty physician in the same group) performs a surgical procedure during the postoperative global period of a prior surgery and the new procedure…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
207W00000X	Ophthalmology Physician	An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically train…
2080P0205X	Pediatric Endocrinology Physician	A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands…
363L00000X	Nurse Practitioner	(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision mak…
261QU0200X	Urgent Care Clinic/Center	Ambulatory Health Care Facilities · Clinic/Center
225CA2400X	Assistive Technology Practitioner Rehabilitation Counselor	Respiratory, Developmental, Rehabilitative and Restorative Service Providers · Rehabilitation Counselor
207VX0000X	Obstetrics Physician	A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions.
163WH0500X	Hemodialysis Registered Nurse	Nursing Service Providers · Registered Nurse
261QR1100X	Research Clinic/Center	Ambulatory Health Care Facilities · Clinic/Center

Related ICD-10-CM Codes

22 rows

ICD-10-CM Code	Description
G51.0	Bell's palsy
G51.9	Disorder of facial nerve, unspecified
G54.0	Brachial plexus disorders
G54.8	Other nerve root and plexus disorders
H01.001	Unspecified blepharitis right upper eyelid
H01.002	Unspecified blepharitis right lower eyelid
H01.003	Unspecified blepharitis right eye, unspecified eyelid
H02.401	Unspecified ptosis of right eyelid
H02.402	Unspecified ptosis of left eyelid
H02.403	Unspecified ptosis of bilateral eyelids

Showing 1–10 of 22

Related Payer Policy Updates

Specialty: Ophthalmology/Optometry1 / 3

10 rows

Policy	Payer	Effective Date
Evaluation of Dry Eyes	Oscar Health	2026-10-01
Evaluation of Dry Eyes	Blue Cross Blue Shield - New Mexico	2026-09-04
Ophthalmic Prostaglandin Analog Prior Authorization Criteria	medimpact	2026-09-01
revakinagene taroretcel-lwey (Encelto) coverage for idiopathic macular telangiectasia (MacTel) type 2	blue cross blue shield - louisiana	2026-09-01
Glaucoma Prostaglandins	Cigna	2026-08-15
Corneal Cross‑linking (CXL) Procedure	husky_health	2026-08-01
Corneal surgical procedures (excluding corneal collagen cross-linking)	husky_health	2026-08-01
Intracanalicular and Intravitreal Corticosteroid Implants	UnitedHealthcare	2026-08-01
Eye Optical Coherence Tomography	Premera Bluecross	2026-08-01
Encelto (Revakinagene Taroretcel-Lwey) implant — coverage criteria	Colorado Rocky Mountain Health Plans	2026-08-01

Related Codes

CPT-67900-BROW-REPAIR-FOR-PTOSIS

CPT 67900: Brow Ptosis (Drooping Eyebrow) Repair

CPT-67901-FRONTALIS-SUSPENSION-PTOSIS-REPAIR

CPT 67901: Frontalis Sling for Ptosis Repair

CPT-67902-FRONTALIS-SLING-EYELID-PTOSIS-REPAIR-WITH-GRAFT

CPT 67902: Frontalis Sling with Tissue Graft for Ptosis Repair

CPT-67903-LEVATOR-RESECTION-INTERNAL-APPROACH-PTOSIS-REPAIR

CPT 67903: Levator Tightening for Ptosis (Transconjunctival)

CPT-67904-LEVATOR-REPAIR-PTOSIS-OUTER-APPROACH

CPT 67904: Levator Muscle Repair for Ptosis

CPT-67906-PTOSIS-REPAIR-SUPERIOR-RECTUS-SUSPENSION-WITH-GRAFT

CPT 67906: Levator/Superior Rectus Transposition with Tissue Graft

CPT-67908-FASANELLA-SERVAT-PTOSIS-REPAIR-OCULOPLASTIC-SURGERY

CPT 67908: Levator/Müller Resection with Tarsoconjunctival Repair for Ptosis

CPT-67909-PTOSIS-REVISION-REPAIR-LEVATOR-TENSION-REDUCTION

CPT 67909: Revision of Prior Ptosis Repair, Reduce Muscle Tension

CPT-67911-EYELID-RETRACTION-CORRECTION

CPT 67911: Correction of Eyelid Retraction

CPT-67914-ECTROPION-REPAIR-LOWER-EYELID-SUTURE-REPAIR

CPT 67914: Lower Eyelid Ectropion Repair with Sutures

Showing 1–10 of 17

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

CPT 67912: Upper Eyelid Lid Weight Placement for Lagophthalmos

Sign up for cpt 67912 policy alerts

CPT 67912: Upper Eyelid Lid Weight Placement for Lagophthalmos

Sign up for cpt 67912 policy alerts

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related ICD-10-CM Codes

Related Payer Policy Updates

Related Codes

What does CPT 67912 describe and where is the procedure typically performed?

What clinical indications and documentation support performing CPT 67912?

What elements of the preoperative and operative documentation are emphasized for this procedure?

Which related CPT codes might appear with CPT 67912 and why?

Which ICD‑10 diagnosis codes are commonly associated with CPT 67912?

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related ICD-10-CM Codes

Related Payer Policy Updates

Related Codes

What does CPT 67912 describe and where is the procedure typically performed?

What clinical indications and documentation support performing CPT 67912?

What elements of the preoperative and operative documentation are emphasized for this procedure?

Which related CPT codes might appear with CPT 67912 and why?

Which ICD‑10 diagnosis codes are commonly associated with CPT 67912?

References