2025 CPT code 15820
Effective Date: N/A Revision Date: N/A Surgery - Integumentary System Feed
Blepharoplasty, lower eyelid.
Modifiers such as 22 (increased procedural services), 50 (bilateral procedure), 52 (reduced services), and others may be applicable depending on the complexity and circumstances of the procedure.
Medical necessity is established when lower eyelid skin impairs peripheral vision. Cosmetic procedures are not typically covered by insurance.
The surgeon marks, incises, and removes or repositions excess skin, muscle and/or fat, then closes with sutures. An anesthesiologist may administer sedation and local anesthetics.
In simple words: This procedure removes excess skin and fat from your lower eyelids, making your eyes look younger and less puffy. The surgeon makes a small cut below your eyelashes or inside your lower eyelid, and then removes or repositions the excess tissue.
Surgical removal of excess skin and/or fat from the lower eyelid to improve appearance or vision.This may include repositioning of fat rather than removal and can involve procedures such as canthopexy or canthoplasty to address lower lid laxity.
Example 1: A 60-year-old patient with excess skin and fat in their lower eyelids causing a tired appearance undergoes lower blepharoplasty to improve their appearance., A 45-year-old patient with impaired peripheral vision due to excess lower eyelid skin undergoes a medically necessary blepharoplasty., A younger patient with prominent lower eyelid fat pads undergoes transconjunctival blepharoplasty for a "scarless" removal of fat.
Documentation should include pre- and postoperative photos, measurements of excess skin and fat, the surgical technique used (e.g., transconjunctival, external incision), any associated procedures (e.g., canthopexy, fat grafting), and medical necessity for vision impairment cases.
** Additional procedures like fat grafting, laser resurfacing, or treatment for prominent veins can be performed in conjunction with lower blepharoplasty. Risks include dry eyes, difficulty closing eyes, scarring, and vision changes.
- Revenue Code: P6A
- Specialties:Oculoplastic Surgery, Plastic Surgery, Ophthalmology
- Place of Service:Ambulatory Surgical Center, Hospital Outpatient, Office