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CPT 67914: Repair of Lower Eyelid Ectropion with Sutures
CPT code 67914 represents surgical repair of lower eyelid ectropion using sutures to correct outward turning of the eyelid and lashes. This ophthalmic reconstructive procedure is performed to reduce ocular surface exposure, improve tear drainage, and relieve irritation. Nationally, eyelid malposition procedures are clinically significant because they address functional vision risks and quality-of-life concerns in aging and surgically complex populations.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise synthesis of clinical context, common sites of service, and payer coverage patterns. The publication outlines expected billing and coding considerations tied to the procedure's clinical indications and typical care settings.
The report provides benchmarks where available, notes common modifiers used with this service, and highlights policy and coverage factors that affect reimbursement and prior authorization. Clinical context explains when ectropion repair is indicated and what outcomes the procedure seeks to achieve. Data gaps in the input are noted as "Data not available in the input." This summary is intended for clinicians, billing professionals, and policy analysts seeking an authoritative, national-level view of CPT code 67914 and its clinical and administrative implications.
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Billing Code Overview
CPT code 67914 describes surgical repair of an ectropion of the lower eyelid using sutures to correct outward turning of the eyelid and eyelashes. The goal of the procedure is to restore proper eyelid position, reduce exposure and irritation of the ocular surface, and improve tear distribution.
Service Type: Ophthalmic reconstructive eyelid surgery
Typical Site of Service: Hospital outpatient surgical center or ambulatory surgical center; ophthalmology clinic with procedure capability