How To Use CPT Code 67908

CPT 67908 describes the surgical repair of blepharoptosis, specifically the conjunctivo-tarso-Muller’s muscle-levator resection procedure. 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 67908?

CPT 67908 is used to describe a surgical procedure known as the Fasanella-Servat type of blepharoptosis repair. This procedure involves the resection and plication of the levator/Muller muscles, as well as the tarsus and conjunctiva, to treat drooping of the eyelid. It is performed to remove excess skin and restore normal functionality and appearance to the eyelid.

2. Official Description

The official description of CPT code 67908 is: ‘Repair of blepharoptosis; conjunctivo-tarso-Muller’s muscle-levator resection (eg, Fasanella-Servat type).’ This code specifically refers to the surgical repair of blepharoptosis using the conjunctivo-tarso-Muller’s muscle-levator resection technique.

3. Procedure

1. The procedure begins with the administration of local anesthesia to the patient’s upper eyelid.
2. The provider marks the crease to be excised on the eyelid and uses a lid retractor to hold the eyelid in an everted position.
3. Two sutures are placed through the conjunctival tarsal border medially and laterally to assist in the procedure.
4. The provider marks the tarsus at the crease level and proceeds to resect Muller’s muscle along with the marked portion of the tarsus and conjunctiva.
5. If necessary, the levator muscle may also be resected to achieve a normal lid position.
6. Hemostasis is achieved using cautery, and sutures are made to close the surgical opening.
7. A pressure dressing is applied to the wound and typically removed the next day.
8. Complete healing of the wound and removal of sutures may take 1-3 weeks.

4. Qualifying circumstances

CPT 67908 is performed to treat blepharoptosis, which is the abnormal drooping of the eyelid. The procedure is indicated when there is a failure of the levator and Muller muscles that hold the eyelid in position. Patients who experience impaired vision or cosmetic concerns due to the drooping eyelid may be eligible for this procedure.

5. When to use CPT code 67908

CPT code 67908 should be used when performing the conjunctivo-tarso-Muller’s muscle-levator resection procedure for the repair of blepharoptosis. It is important to ensure that the procedure is medically necessary and meets the criteria for coverage by the patient’s insurance provider.

6. Documentation requirements

To support a claim for CPT 67908, the following documentation is typically required:

• Documentation of the patient’s diagnosis of blepharoptosis and the medical necessity of the procedure
• Details of the procedure performed, including the specific technique used (conjunctivo-tarso-Muller’s muscle-levator resection)
• Date of the procedure and the duration of the surgery
• Any additional procedures performed during the same surgical session
• Post-operative care instructions and follow-up plans
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 67908, it is important to ensure that the procedure performed aligns with the description of the code. The use of modifiers may be necessary to provide additional information to the payer. It is also important to verify coverage and reimbursement policies with the patient’s insurance provider to ensure proper billing and reimbursement.

8. Historical information

CPT code 67908 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 with blepharoptosis undergoes the conjunctivo-tarso-Muller’s muscle-levator resection procedure to repair the drooping eyelid.
2. A provider performs the Fasanella-Servat type of blepharoptosis repair on a patient with impaired vision due to eyelid drooping.
3. A patient undergoes the conjunctivo-tarso-Muller’s muscle-levator resection procedure to improve the cosmetic appearance of their eyelid.
4. A provider performs the surgical repair of blepharoptosis using the conjunctivo-tarso-Muller’s muscle-levator resection technique on a patient with functional impairment.
5. A patient with blepharoptosis undergoes the Fasanella-Servat type of eyelid repair to restore normal functionality and appearance.
6. A provider performs the conjunctivo-tarso-Muller’s muscle-levator resection procedure on a patient with drooping eyelids caused by muscle weakness.
7. A patient with blepharoptosis undergoes surgical repair using the Fasanella-Servat technique to improve their field of vision.
8. A provider performs the conjunctivo-tarso-Muller’s muscle-levator resection procedure on a patient with bilateral eyelid drooping.
9. A patient undergoes the surgical repair of blepharoptosis using the conjunctivo-tarso-Muller’s muscle-levator resection technique to correct asymmetry in their eyelids.
10. A provider performs the Fasanella-Servat type of blepharoptosis repair on a patient with functional impairment due to drooping eyelids.