2025 CPT code 67908
(Active) Effective Date: N/A Surgery - Surgical Procedures on the Eye and Ocular Adnexa Surgery Feed
Repair of blepharoptosis using a conjunctivo-tarso-Muller's muscle-levator resection, such as the Fasanella-Servat procedure.
Modifiers are applicable to this code. Modifiers 22, 47, 50-59, 73, 74, 76-79, 99, E1, E3 and other listed above can be used depending on circumstances.
Medical necessity for this procedure is established by documenting functional visual impairment caused by the ptosis, such as documented by visual field testing or by demonstrating the eyelid encroaching into the visual axis which prevents the light reflex.
The physician administers local anesthesia, marks the eyelid for the procedure, uses a lid retractor to hold the eyelid in place, resects the necessary muscles and tissues, uses cautery for hemostasis, closes the incision with sutures, and applies a pressure dressing.
In simple words: This procedure fixes a droopy eyelid by tightening the muscles and tissues that hold it up.A small portion of the eyelid may be removed to help achieve the correct position.This is done as a surgery, usually with local anesthetic.
This code describes a surgical procedure to correct blepharoptosis (drooping eyelid) by resecting and plicating the levator/Muller muscles along with the tarsus and conjunctiva.The procedure often involves excising a portion of the tarsus and conjunctiva, and potentially the levator muscle, to restore normal lid position.Hemostasis is achieved with cautery, and the surgical opening is closed with sutures. A common example of this type of procedure is the Fasanella-Servat technique.
Example 1: A 45-year-old patient presents with ptosis of the left upper eyelid, obstructing their superior visual field.The ophthalmologist determines that a Fasanella-Servat procedure (67908) is the appropriate surgical intervention to correct the ptosis., A child with congenital blepharoptosis affecting both upper eyelids undergoes bilateral 67908 procedures (with modifier 50) to improve their visual field and prevent amblyopia (lazy eye)., A patient with acquired blepharoptosis due to trauma requires repair using a conjunctivo-tarso-Muller's muscle-levator resection (67908) to restore eyelid function and address cosmetic concerns.
Documentation should include preoperative photographs demonstrating the ptosis, visual field tests showing impairment, operative report detailing the surgical technique used, and post-operative assessment of eyelid function and cosmetic outcome.
** Insurance coverage for this procedure may vary depending on the payer. It is essential to demonstrate the medical necessity of the procedure through proper documentation of functional visual impairment.Cosmetic blepharoplasty is often not covered by insurance.
- Revenue Code: P4E - EYE PROCEDURE - OTHER
- Specialties:Ophthalmology, Oculoplastic Surgery
- Place of Service:Ambulatory Surgical Center, Hospital Outpatient Department, Physician's Office