2025 CPT code 67902
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Eye and Ocular Adnexa Surgery Feed
Repair of blepharoptosis using the frontalis muscle technique with an autologous fascial sling.
E1-E4 modifiers can be used to specify the affected eyelid (E1: upper left, E2: lower left, E3: upper right, E4: lower right). Modifier 50 indicates a bilateral procedure.
Medical necessity is typically established by demonstrating visual field impairment due to the ptosis. Pre- and post-operative visual field testing is often required to show a significant improvement after surgery.The degree of improvement required varies by payer.
The ophthalmologist or oculoplastic surgeon performs the procedure.This includes pre-operative preparation, surgical technique (incision, fascial graft harvesting, sling creation, suture placement), and post-operative care.
In simple words: The surgeon fixes a drooping eyelid by connecting it to the forehead muscle using a tissue graft from elsewhere in the body. This improves the eyelid's position and may help vision if the drooping was causing problems.
This procedure involves surgically repairing a drooping eyelid (blepharoptosis) by attaching it to the frontalis muscle in the forehead.A tissue graft (autologous fascial sling), harvested from another area of the patient's body (e.g., thigh), is used to create a sling connecting the eyelid to the frontalis muscle. This improves eyelid position and may correct vision impairment caused by the ptosis. The procedure includes harvesting the fascial tissue.
Example 1: A 60-year-old patient presents with significant ptosis in the right upper eyelid, causing significant visual field obstruction.Visual field testing demonstrates a 25% improvement when the eyelid is taped up.67902 is used to correct the ptosis with a fascial sling from the thigh., A 70-year-old patient has bilateral ptosis, significantly impacting their vision.The patient undergoes bilateral ptosis repair using the frontalis muscle technique with autologous fascial slings (separate 67902 for each side), along with modifier 50 (bilateral procedure)., A 45-year-old patient with unilateral ptosis affecting their left upper eyelid undergoes the procedure.The surgeon uses a fascial graft from the patient's left thigh.67902 is used with modifier E1 (upper left eyelid).
* Thorough history and physical examination documenting the blepharoptosis, including impact on vision.* Preoperative visual field testing to demonstrate the degree of visual impairment.* Intraoperative photographs documenting surgical steps, graft harvest site, and final eyelid position.* Postoperative visual field testing to demonstrate improvement.* Operative report detailing the surgical procedure and complications, if any.
** Insurance coverage for this procedure may be dependent on demonstrating medical necessity (i.e., visual field improvement).Always check payer-specific policies.
- Revenue Code: P4E (EYE PROCEDURE - OTHER)
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Ophthalmology, Oculoplastic Surgery
- Place of Service:Office, Ambulatory Surgery Center, Hospital (Inpatient or Outpatient)