CPT® Code 67975

The CPT® Code 67975 refers to the reconstruction of the eyelid using a full-thickness tarsoconjunctival flap that is transferred from the opposing eyelid, specifically during the second stage of a two-stage surgical procedure. This technique is employed to address eyelid defects that may arise due to trauma or extensive surgical excision of lesions. The procedure utilizes a lid-sharing reconstruction method, which is tailored based on whether the upper or lower eyelid is being reconstructed. For the lower eyelid, a common approach is the tarsoconjunctival bridge flap, also known as the modified Hughes procedure. This involves creating a flap from the upper eyelid, which is then advanced to repair the defect in the lower eyelid. The reconstruction process is meticulous, requiring precise incisions and suturing to ensure proper alignment and healing. The flap is typically secured in place for a period of 4 to 6 weeks to allow for adequate blood supply development. In the second stage, further refinements are made to the eyelid structure, including suturing the conjunctiva to the reconstructed lower lid margin and reattaching any remaining flap components. This comprehensive approach ensures functional and aesthetic restoration of the eyelid, which is critical for both vision and appearance.