November 2, 2017
My physician did a simple laceration repair on the skin right upper eyelid. What procedure code should I report? My physician wants to use 67930.
For a simple repair of the skin of the eyelid, you should report 12011-12018 based on cm size of the repair. Report 12011 for a total length of 2.5 cm or less; 12013 for 2.6 cm to 5 cm; 12014 for 5.1 cm to 7.5 cm; 12015 for 7.6 cm to 12.5 cm; 12016 for 12.6 cm to 20 cm; 12017 for 20.1 cm to 30 cm; and 12018 if the total length is greater than 30 cm. When reporting repair of wounds, the lengths of all repairs are added together and the total is listed for each anatomical site. If the repair involves the lid margin you should report the repair with CPT 67930 (Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; partial thickness) or 67935 (full thickness).
*This response is based on the best information available as of 11/02/17.