67974 Reconstruction of eyelid
Also known as: myocutaneous flap reconstruction, muscle flap eyelid repair
Reconstruction of eyelid with myocutaneous flap to restore function and appearance following extensive eyelid loss.
In Plain Language
rebuilding eyelid with muscle and skin; eyelid reconstruction with muscle transfer
Clinical Context
Used for extensive eyelid defects requiring muscle flap with skin. Common indications include large defects with functional loss, burn injuries requiring motor restoration, or extensive reconstruction.
RVU Breakdown
| Work RVU | 12.77 |
| Total RVU | 12.77 |
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 12.77, this code ranks in the 67th percentile among Surgery codes — 1.6x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 67974?
CPT 67974 (Reconstruction of eyelid) is a Surgery code. Reconstruction of eyelid with myocutaneous flap to restore function and appearance following extensive eyelid loss.
What is the wRVU value for CPT 67974?
The work RVU for CPT 67974 is 12.77. This code is primarily used by Ophthalmology, Oculoplastics. It has a 90-day global period.
When is CPT 67974 used?
Used for extensive eyelid defects requiring muscle flap with skin. Common indications include large defects with functional loss, burn injuries requiring motor restoration, or extensive reconstruction.
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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.