• Units for CPT code 67882

    Question: Our surgeon performed CPT code 67882 Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate on a patient’s right eye. However, this was performed both on medial and lateral eyelid. Is there another CPT code we should bill?

    Answer: Payment for CPT code 67882 is per eye. If the surgeon feels that this was additional work than what is standard, and it is documented, consider appending modifier -22 Increased procedural services. The payer will likely request an operative report and payment will be delayed. After review, the payer may or may not allow additional payment as some cases are more difficult than others.

    Learn more about procedures in the Oculofacial module.