CPT® Code 67961

Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin graft or pedicle flap with adjacent tissue transfer or rearrangement; up to one-fourth of lid margin

The CPT® Code 67961 refers to the surgical procedure involving the excision and repair of a lesion located on the eyelid, specifically when the lesion affects the lid margin, tarsus, conjunctiva, canthus, or the full thickness of the eyelid. This procedure is typically performed when the lesion is suspected to be malignant, with common types including basal cell carcinoma, squamous cell carcinoma, sebaceous carcinoma, and melanoma. During the excision, the lesion is removed along with a margin of healthy tissue to ensure complete removal of any cancerous cells. Following the excision, the resulting defect is repaired, which may involve the use of a skin graft or a pedicle flap, as well as adjacent tissue transfer or rearrangement. The extent of the excision is limited to up to one-fourth of the lid margin. The surgical technique employed may vary depending on whether the upper or lower eyelid is being treated and the specific location of the defect on the eyelid. The procedure also includes a pathological examination of the excised tissue to confirm that the margins are clear of malignancy; if they are not, further excision is performed until clean margins are achieved. The reconstruction of the eyelid is a critical component of this procedure, ensuring both functional and aesthetic restoration of the eyelid following the removal of the lesion.