67916 Repair eyelid defect
Also known as: eyelid repair with graft, eyelid flap repair
Repair of eyelid defect not involving the margin using flap or graft technique for reconstruction of larger defect.
In Plain Language
eyelid repair using tissue graft; fixing eyelid with tissue transfer
Clinical Context
Used for eyelid defects away from the margin that are too large for primary closure. Common indications include defects from lesion removal, burn injuries, or large traumatic defects of the eyelid body.
RVU Breakdown
| Work RVU | 5.34 |
| Total RVU | 5.34 |
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 5.34, this code ranks in the 36th percentile among Surgery codes — 1.5x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 67916?
CPT 67916 (Repair eyelid defect) is a Surgery code. Repair of eyelid defect not involving the margin using flap or graft technique for reconstruction of larger defect.
What is the wRVU value for CPT 67916?
The work RVU for CPT 67916 is 5.34. This code is primarily used by Ophthalmology, Oculoplastics. It has a 90-day global period.
When is CPT 67916 used?
Used for eyelid defects away from the margin that are too large for primary closure. Common indications include defects from lesion removal, burn injuries, or large traumatic defects of the eyelid body.
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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.