How To Use CPT Code 67902

CPT 67902 describes the repair of blepharoptosis using the frontalis muscle technique with an autologous fascial sling. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 67902?

CPT 67902 can be used to describe the surgical repair of blepharoptosis, also known as drooping of the upper eyelid. This procedure involves attaching the eyelid to the frontalis muscle in the forehead using a tissue graft from another part of the patient’s body. The purpose of this surgery is to improve the cosmetic appearance of the eyelid or remove any obstruction to the patient’s vision.

2. Official Description

The official description of CPT code 67902 is: ‘Repair of blepharoptosis; frontalis muscle technique with autologous fascial sling (includes obtaining fascia).’ This code specifically refers to the use of the frontalis muscle technique with an autologous fascial sling to repair blepharoptosis.

3. Procedure

1. The provider begins by preparing and anesthetizing the patient.
2. An incision is made in the upper eyelid and brow.
3. A suture is placed through the upper eyelid to hold it in place.
4. The provider transfers the movement of the upper lid to the frontalis muscle above the eyelid using a frontal muscle technique.
5. A sling or strap is created using fascia obtained from another location, such as the patient’s thigh.
6. The fascial material is threaded between the incisions and secured to achieve the desired eyelid height and contour.
7. The provider closes the incision in layers using sutures.

4. Qualifying circumstances

CPT 67902 is performed on patients with blepharoptosis, which is the drooping of the upper eyelid. The procedure is indicated when the drooping eyelid is causing cosmetic concerns or obstructing the patient’s vision. The use of the frontalis muscle technique with an autologous fascial sling is specific to this code.

5. When to use CPT code 67902

CPT code 67902 should be used when the provider performs the repair of blepharoptosis using the frontalis muscle technique with an autologous fascial sling. This code is appropriate when the procedure involves the use of the patient’s own fascial tissue to create a sling and connect the eyelid to the frontalis muscle. It is important to note that this code should not be used for other techniques or approaches to repair blepharoptosis.

6. Documentation requirements

To support a claim for CPT 67902, the provider must document the following information:

• Patient’s diagnosis of blepharoptosis
• Details of the frontalis muscle technique with autologous fascial sling
• Location of the fascial tissue obtained
• Date of the procedure
• Incision and closure details
• Any complications or additional procedures performed
• Signature of the provider

7. Billing guidelines

When billing for CPT 67902, ensure that the procedure performed matches the description of the code. The use of the frontalis muscle technique with an autologous fascial sling is specific to this code. It is important to follow any additional guidelines or requirements set by the payer. Modifier E1-E4 can be used to indicate the specific eyelid involved in the procedure.

8. Historical information

CPT 67902 was added to the Current Procedural Terminology system on January 1, 1990. The code description was later changed on January 1, 2006 to include the mention of obtaining fascia.

9. Examples

1. A patient undergoes a repair of blepharoptosis using the frontalis muscle technique with an autologous fascial sling to improve their cosmetic appearance.
2. A provider performs a repair of blepharoptosis using the frontalis muscle technique with an autologous fascial sling to remove the obstruction to a patient’s vision.
3. A patient with drooping eyelids undergoes a repair using the frontalis muscle technique with an autologous fascial sling to improve their visual field.
4. A provider performs a repair of blepharoptosis using the frontalis muscle technique with an autologous fascial sling to correct the asymmetry of the patient’s eyelids.
5. A patient undergoes a repair of blepharoptosis using the frontalis muscle technique with an autologous fascial sling to enhance their overall facial appearance.
6. A provider performs a repair of blepharoptosis using the frontalis muscle technique with an autologous fascial sling to improve the patient’s self-confidence.
7. A patient with drooping eyelids undergoes a repair using the frontalis muscle technique with an autologous fascial sling to restore their natural eyelid contour.
8. A provider performs a repair of blepharoptosis using the frontalis muscle technique with an autologous fascial sling to correct the patient’s impaired vision.
9. A patient undergoes a repair of blepharoptosis using the frontalis muscle technique with an autologous fascial sling to eliminate the need for constantly lifting their eyelids.
10. A provider performs a repair of blepharoptosis using the frontalis muscle technique with an autologous fascial sling to improve the patient’s overall quality of life.