Prior Auth Required
67904 - Cosmetic Potential Repair of blepharoptosis; (tarso) levator resection or
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / ServiceCosmetic Potential Repair of blepharoptosis; (tarso) levator resection or
Procedure / Service Description
Mountain Health Co-Op, Services Requiring Prior Authorization 56 - advancement, internal approach Cosmetic Potential 67904 Repair of blepharoptosis; (tarso) levator resection or advancement, external approach
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.