An exterior camera lens cleaning system for a vehicle may include: a base unit fixed to the vehicle; a housing unit configured to be rotatable with respect to the base unit; a camera unit including a camera module, the camera unit at least partially inserted into the housing unit and configured to move in a longitudinal direction of the housing unit; a wiper disposed on an inside surface of the housing unit so as to face the camera module; and a control unit configured to receive video data through the camera module, to control a rotation operation of the housing unit based on a state of the vehicle, and to control an extension operation of the camera unit. The camera unit may be interlocked with the housing unit, and when the housing unit is rotated by the control unit, the camera unit may be configured to move horizontally in the longitudinal direction of the housing unit.