0 code page views remaining today. Guest accounts are limited to 2 daily page views. Register free account to get more views.
Log in Register free account

Official Description

Severing of tarsorrhaphy

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

The CPT® Code 67710 refers to the procedure known as severing of tarsorrhaphy. This procedure involves the removal of sutures that were previously placed in the eyelids to achieve closure. Tarsorrhaphy is a surgical technique that is utilized in specific circumstances to protect the eye, particularly following an injury or in cases of corneal disease. The closure of the eyelids can be necessary to prevent exposure and further damage to the cornea, especially in situations where inflammation is present or when dendritic ulcers, which are caused by viral infections, have developed. The act of severing the sutures is a critical step in the management of these conditions, allowing for the restoration of normal eyelid function and promoting healing of the underlying ocular structures.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The procedure of severing tarsorrhaphy is indicated in several specific situations where eyelid closure is necessary for the protection and healing of the eye. The following conditions may warrant this procedure:

  • Eye Injury - Tarsorrhaphy may be performed following an eye injury to safeguard the cornea from further trauma and to facilitate the healing process.
  • Corneal Disease - In cases of corneal disease that leads to inflammation, tarsorrhaphy can help protect the cornea from exposure and additional damage.
  • Dendritic Ulcers - These ulcers, which are often caused by viral infections, may necessitate eyelid closure to promote healing and prevent complications.
  • Other Conditions - Any other medical conditions that require the eyelid to be closed for therapeutic reasons may also indicate the need for this procedure.

2. Procedure

The procedure of severing tarsorrhaphy involves several key steps that ensure the safe and effective removal of the sutures. The following outlines the procedural steps:

  • Step 1: Preparation - The physician prepares the patient for the procedure by ensuring a sterile environment and obtaining informed consent. The area around the eyelids is cleaned to minimize the risk of infection.
  • Step 2: Identification of Sutures - The physician carefully examines the eyelids to identify the sutures that were previously placed during the tarsorrhaphy procedure. This step is crucial to ensure that all sutures are accounted for and removed.
  • Step 3: Severing the Sutures - Using sterile surgical scissors or a similar instrument, the physician gently cuts each suture. Care is taken to avoid damaging the surrounding tissue or the eye itself during this process.
  • Step 4: Removal of Sutures - After severing the sutures, the physician removes them from the eyelids. This step may involve gently pulling the sutures out to ensure complete removal without leaving any fragments behind.
  • Step 5: Post-Procedure Assessment - Once all sutures are removed, the physician assesses the eyelids and the eye for any signs of complications or the need for further intervention. This may include checking for proper eyelid function and ensuring that the cornea is adequately protected.

3. Post-Procedure

After the severing of tarsorrhaphy, the patient may require specific post-procedure care to ensure optimal recovery. This may include monitoring for any signs of infection or complications, as well as instructions on how to care for the eyelids and eye. Patients are often advised to avoid rubbing or putting pressure on the eyes and may be prescribed topical medications to aid in healing. Follow-up appointments may be scheduled to assess the healing process and to determine if any further treatment is necessary.

Short Descr SEVERING TARSORRHAPHY
Medium Descr SEVERING TARSORRHAPHY
Long Descr Severing of tarsorrhaphy
Status Code Active Code
Global Days 010 - Minor Procedure
PC/TC Indicator (26, TC) 0 - Physician Service Code
Multiple Procedures (51) 2 - Standard payment adjustment rules for multiple procedures apply.
Bilateral Surgery (50) 1 - 150% payment adjustment for bilateral procedures applies.
Physician Supervisions 09 - Concept does not apply.
Assistant Surgeon (80, 82) 1 - Statutory payment restriction for assistants at surgery applies to this procedure...
Co-Surgeons (62) 0 - Co-surgeons not permitted for this procedure.
Team Surgery (66) 0 - Team surgeons not permitted for this procedure.
Diagnostic Imaging Family 99 - Concept Does Not Apply
APC Status Indicator Procedure or Service, Multiple Reduction Applies
ASC Payment Indicator Office-based surgical procedure added to ASC list in CY 2008 or later with MPFS nonfacility PE RVUs; payment based on MPFS nonfacility PE RVUs.
Type of Service (TOS) 2 - Surgery
Berenson-Eggers TOS (BETOS) P6C - Minor procedures - other (Medicare fee schedule)
MUE 1
CCS Clinical Classification 19 - Other therapeutic procedures on eyelids, conjunctiva, cornea
LT Left side (used to identify procedures performed on the left side of the body)
58 Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78.
50 Bilateral procedure: unless otherwise identified in the listings, bilateral procedures that are performed at the same session, should be identified by adding modifier 50 to the appropriate 5 digit code. note: this modifier should not be appended to designated "add-on" codes (see appendix d).
51 Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d).
55 Postoperative management only: when 1 physician or other qualified health care professional performed the postoperative management and another performed the surgical procedure, the postoperative component may be identified by adding modifier 55 to the usual procedure number.
59 Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25.
78 Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.)
79 Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.)
E1 Upper left, eyelid
E2 Lower left, eyelid
E3 Upper right, eyelid
E4 Lower right, eyelid
GC This service has been performed in part by a resident under the direction of a teaching physician
GW Service not related to the hospice patient's terminal condition
RT Right side (used to identify procedures performed on the right side of the body)
SG Ambulatory surgical center (asc) facility service
XS Separate structure, a service that is distinct because it was performed on a separate organ/structure
XU Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service
Date
Action
Notes
2025-01-01 Changed Short Description changed.
Pre-1990 Added Code added.
Code
Description
Code
Description
Code
Description
Code
Description
Code
Description