How To Use CPT Code 67906

CPT 67906 describes the repair of blepharoptosis using the superior rectus technique with a 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 67906?

CPT 67906 is used to describe the surgical repair of blepharoptosis, also known as drooping of the upper eyelid. In this procedure, the provider attaches the eyelid to the superior rectus muscle of the orbit using a tissue graft from another part of the patient’s body. The goal of this surgery is to improve the cosmetic appearance or remove any obstruction to the patient’s vision caused by the drooping eyelid.

2. Official Description

The official description of CPT code 67906 is: ‘Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia).’ This code specifically refers to the use of the superior rectus technique with a 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 superior rectus muscle using a superior rectus technique.
5. A sling, or strap, is created using fascia obtained from another location, such as the patient’s thigh.
6. The fascial sling is threaded between the incisions and secured in place to achieve the desired eyelid height and contour.
7. The incision is closed in layers using sutures.

4. Qualifying circumstances

CPT 67906 is performed when a patient has blepharoptosis, which is the drooping of the upper eyelid. The surgery is indicated when the drooping eyelid impairs the patient’s vision or causes cosmetic concerns. The procedure is typically performed by a qualified healthcare provider who has the necessary training and expertise in eyelid surgery.

5. When to use CPT code 67906

CPT code 67906 should be used when the provider performs the repair of blepharoptosis using the superior rectus technique with a fascial sling. This code is specific to this particular surgical approach and should not be used for other techniques or procedures.

6. Documentation requirements

To support a claim for CPT 67906, the provider must document the following information:

• Patient’s diagnosis of blepharoptosis
• Description of the surgical technique used (superior rectus technique with fascial sling)
• Date of the procedure
• Details of the procedure, including any additional steps or modifications
• Any complications or unexpected findings
• Post-operative care instructions
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 67906, ensure that the procedure performed matches the description of the code. It is important to use the correct surgical technique (superior rectus technique with fascial sling) to accurately report the service. Additionally, follow any specific billing guidelines provided by the payer or insurance company to ensure proper reimbursement.

8. Historical information

CPT 67906 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition.

9. Examples

1. A patient undergoes a repair of blepharoptosis using the superior rectus technique with a fascial sling to improve their vision and cosmetic appearance.
2. A provider performs a surgical procedure to correct blepharoptosis by attaching the eyelid to the superior rectus muscle using a fascial sling.
3. A patient with drooping eyelids undergoes a surgical repair using the superior rectus technique with a fascial sling to restore their normal eyelid position.
4. A provider performs a procedure to repair blepharoptosis by utilizing the superior rectus technique with a fascial sling, resulting in improved eyelid height and contour.
5. A patient undergoes a surgical intervention to correct their drooping eyelids using the superior rectus technique with a fascial sling, resulting in improved vision and appearance.
6. A provider performs a repair of blepharoptosis using the superior rectus technique with a fascial sling to address the patient’s concerns about their drooping eyelids.
7. A patient undergoes a surgical procedure to correct their drooping eyelids using the superior rectus technique with a fascial sling, resulting in improved eyelid function and aesthetics.
8. A provider performs a repair of blepharoptosis using the superior rectus technique with a fascial sling to improve the patient’s visual field and overall eye appearance.
9. A patient with drooping eyelids undergoes a surgical intervention using the superior rectus technique with a fascial sling to restore their eyelid position and improve their vision.
10. A provider performs a procedure to repair blepharoptosis by utilizing the superior rectus technique with a fascial sling, resulting in a more youthful and rejuvenated appearance for the patient.