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.