Prior Auth Required

67903 - Repair of blepharoptosis; (tarso) levator Prior Authorization Required Medical Necessity Pre Operative Evaluation, History and

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceRepair of blepharoptosis; (tarso) levator Prior Authorization Required Medical Necessity Pre Operative Evaluation, History and
Procedure / Service Description

Code Description Plan Review Requirement Reviewed For Records Request - (includes obtaining fascia) and operative report including photos 67903 Repair of blepharoptosis; (tarso) levator Prior Authorization Required Medical Necessity Pre Operative Evaluation, History and resection or advancement, internal Physical including functional impairment, approach and operative report including photos

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.