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CPT 67930: Eyelid Wound Closure with Direct Suturing
CPT code 67930 represents direct closure (suturing) of a recent eyelid wound that does not completely penetrate the eyelid but may involve the eyelid margin, lining membrane, or inner plate. This code is used to bill for minor surgical repair of superficial eyelid lacerations and is relevant across ambulatory surgical centers, physician offices, and emergency departments where ophthalmic or oculoplastic care is delivered. Nationally, accurate coding for eyelid wound closure affects procedure documentation, appropriate site-of-service reporting, and consistent clinical billing for ophthalmology and emergency medicine practices.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise clinical context for the procedure, payer coverage considerations, common modifiers that may apply in claims, and benchmarks where available. The publication outlines coding boundaries for this procedure, typical settings where the service is performed, and practical billing elements to support claim submission and reimbursement workflows. Data not available in the input is noted where payer-specific payment amounts, associated taxonomies, and ICD-10 diagnoses would normally appear.
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Billing Code Overview
CPT code 67930 describes closure of a recent eyelid wound that does not fully penetrate the eyelid. The service involves direct suturing of the wound edges and may address involvement of the eyelid margin, lining membrane, or inner plate.
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Service type: Minor surgical wound closure of the eyelid (direct closure)
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Typical site of service: Ambulatory surgical center, physician office, or emergency department depending on clinical setting