Prior Auth Required

67905 - ( ), upper eyelid blepharoplasty is not eligible for separate reimbursement

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Service( ), upper eyelid blepharoplasty is not eligible for separate reimbursement
Procedure / Service Description

each presentation may require correction. When both procedures are medically necessary and - eyelid is a component of primary repair of blepharoptosis. Therefore, when upper eyelid blepharoplasty (15822, 15823) is billed in conjunction with primary repair of blepharoptosis (67901- 67908), upper eyelid blepharoplasty is not eligible for separate reimbursement. When a cosmetic blepharoplasty is performed on the same eye during the same operative

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.