CPT® Code 67882

The procedure described by CPT® Code 67882 involves the construction of intermarginal adhesions through median tarsorrhaphy or canthorrhaphy, combined with the transposition of the tarsal plate. The eyelids are composed of several layers of tissue, including the skin, orbicularis muscle, tarsus, and conjunctiva. The tarsal plates, or tarsi, are made of dense fibrous tissue that provides structural integrity and shape to the upper and lower eyelids. The upper eyelid typically has a crescent shape, while the lower eyelid is more rectangular. Median tarsorrhaphy is a surgical technique that creates adhesions between the upper and lower eyelid margins at the midline, primarily to protect the cornea from exposure and potential damage. Canthorrhaphy, on the other hand, involves creating adhesions at the medial and lateral canthus, which are the corners of the eye. During median tarsorrhaphy, a narrow strip of skin is excised from both the upper and lower eyelids at the midline, with incisions made just behind the eyelashes. The resulting wounds are then approximated and secured with interrupted sutures. Canthorrhaphy follows a similar approach, with skin excised from the corners of the eyelids and the wounds sutured together. In the case of CPT® Code 67882, the procedure is enhanced by the transposition of the tarsal plate, which involves exposing and repositioning the tarsal plate to facilitate improved eyelid closure, thereby enhancing the overall effectiveness of the surgical intervention.