67904 Repair eyelid defect
Also known as: eyelid repair, lower eyelid reconstruction
Repair of lower eyelid defect involving the margin or full-thickness reconstruction of eyelid tissue with basic closure techniques.
In Plain Language
fixing lower eyelid damage; repairing lower eyelid
Clinical Context
Used for traumatic lower eyelid defects, surgical defects from lesion removal, or congenital eyelid anomalies. Common indications include lower eyelid margin trauma, eyelid lacerations, or small full-thickness eyelid defects.
RVU Breakdown
| Work RVU | 7.77 |
| Total RVU | 7.77 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 7.77, this code ranks in the 49th percentile among Surgery codes — 1.0x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 67904?
CPT 67904 (Repair eyelid defect) is a Surgery code. Repair of lower eyelid defect involving the margin or full-thickness reconstruction of eyelid tissue with basic closure techniques.
What is the wRVU value for CPT 67904?
The work RVU for CPT 67904 is 7.77. This code is primarily used by Ophthalmology, Oculoplastics. It has a 90-day global period.
When is CPT 67904 used?
Used for traumatic lower eyelid defects, surgical defects from lesion removal, or congenital eyelid anomalies. Common indications include lower eyelid margin trauma, eyelid lacerations, or small full-thickness eyelid defects.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.