CPT code 67916 denotes tarsal wedge excision for repair of ectropion, a lower eyelid malposition that can lead to tearing, exposure, and irritation. This surgical code captures a common oculoplastic intervention aimed at restoring eyelid position and protecting the ocular surface. Nationally, the code is relevant for ophthalmology and oculoplastics practices, ambulatory surgical centers, hospital outpatient departments, and payers assessing coverage and coding consistency for eyelid reconstructive procedures.

Key payers in coverage and reimbursement discussions 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 payer coverage framing. The publication provides benchmarks and comparative policy context where available, explains common billing and coding considerations, and highlights areas where payer policies and documentation expectations can influence claim adjudication. The content is oriented to billing managers, clinical coders, and policy analysts seeking a national overview of how CPT code 67916 is used and reimbursed within surgical ophthalmology practice settings. Data not available in the input is noted where specific payer rates, associated taxonomies, and ICD-10 pairings are not provided.