CPT 67915: Thermocauterization Repair of Lower Eyelid Ectropion
CPT code 67915 describes thermocauterization repair of an ectropion of the lower eyelid, a minor oculoplastic procedure used to correct outward turning of the lid and lashes that can cause tearing and ocular irritation. Nationally, this code is relevant to ophthalmology practices, ambulatory surgical centers, and payers managing coverage of outpatient eyelid repairs.
Key payers reviewed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare and Medicare. Readers will find a concise clinical context for the procedure, typical sites of service, and which payers commonly encounter claims for this service. The publication also outlines benchmark considerations, common modifier usage patterns when available, and policy or coverage themes affecting payment for minor eyelid procedures.
This summary equips billing and revenue teams, clinical leaders, and policy analysts with a clear understanding of what CPT code 67915 represents, why it matters in outpatient ophthalmic care, and the areas to examine further when reviewing reimbursement, prior authorization requirements, and claims documentation for eyelid thermocauterization.
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Billing Code Overview
CPT code 67915 describes a surgical procedure that uses thermocauterization to repair an ectropion, an outward turning of the lower eyelid and eyelashes. The technique aims to reduce excessive tearing and ocular surface irritation by tightening or reshaping the lower eyelid margin through cauterization.
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Service type: Minor oculoplastic surgical repair of the lower eyelid using thermocautery
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Typical site of service: Outpatient ophthalmology or ambulatory surgical center setting where minor eyelid procedures are performed