CPT code 67923 captures surgical correction of lower eyelid entropion using a tarsal wedge excision. This procedure addresses inward rotation of the eyelid margin and lashes that can threaten ocular surface health and patient comfort. Nationally, accurate coding for this procedure is important for appropriate clinical documentation, surgical quality tracking, and payer adjudication for ophthalmic and oculoplastic services.

Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise explanation of the clinical intent of the code, the typical service setting, and the common billing modifiers used with the code (listed separately). The publication also outlines expected benchmarks and payment considerations, common documentation elements needed to support medical necessity, and potential policy or coverage nuances relevant to national payers.

The content is aimed at clinicians, coding professionals, and revenue cycle managers seeking a practical reference on clinical context and billing implications for 67923, including what to expect in claims processing and documentation priorities for ophthalmic surgical repair of entropion.