67950 - Canthoplasty (reconstruction of canthus) Prior Authorization Required Cosmetic - Reconstructive Submit history and physical

Code Description Plan Review Requirement Reviewed For Records Request - medical service or supply. Code Description Plan Review Requirement Reviewed For Records Request 67950 Canthoplasty (reconstruction of canthus) Prior Authorization Required Cosmetic - Reconstructive Submit history and physical, documentation of medical necessity. 67999 Unlisted procedure, eyelids Medical necessity review will be Medical Necessity Review required at claims submission;

• Confirm benefit details
• Submit clinical notes if requested by the plan

• Confirm the current plan policy before submission.
• Use the insurer authorization workflow for this listed code.