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The procedure described by CPT® Code 67902 involves the surgical repair of blepharoptosis, which refers to the drooping or sagging of the upper eyelid. This condition is typically caused by weakness in the levator palpebrae muscle, which is responsible for elevating the eyelid. The repair is performed using the frontalis muscle technique, which utilizes the frontalis muscle to assist in lifting the eyelid. An autologous fascial sling is employed in this procedure, meaning that the fascia used for the sling is harvested from the patient's own body, specifically from the lateral thigh. This technique includes the process of obtaining the fascia, which is essential for the repair. The procedure is designed to restore the normal position of the eyelid, thereby improving vision and aesthetic appearance. The surgical approach involves making incisions above the eyebrow and in the upper eyelid, allowing for precise placement of the sling material to achieve the desired elevation of the eyelid. The use of a Silastic rod or banked fascia may also be incorporated, depending on the specific requirements of the repair. Overall, this procedure aims to correct the functional and cosmetic issues associated with blepharoptosis, enhancing the patient's quality of life.
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The procedure described by CPT® Code 67902 is indicated for patients experiencing blepharoptosis, which is characterized by the following conditions:
The surgical procedure for CPT® Code 67902 involves several detailed steps to effectively repair blepharoptosis:
After the completion of the procedure, patients can expect specific post-operative care and considerations. It is important to monitor for any signs of complications, such as infection or excessive swelling. Patients may be advised to avoid strenuous activities and to keep the surgical area clean and dry. Follow-up appointments will be necessary to assess healing and the effectiveness of the eyelid elevation. The physician may provide specific instructions regarding the use of ice packs to reduce swelling and pain management options. Overall, the recovery process will vary among individuals, but the goal is to achieve optimal eyelid function and appearance.
| Short Descr | REPAIR EYELID DEFECT | Medium Descr | RPR BLEPHAROPT FRONTALIS MUSC AUTOL FASCAL SLING | Long Descr | Repair of blepharoptosis; frontalis muscle technique with autologous fascial sling (includes obtaining fascia) | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 1 - 150% payment adjustment for bilateral procedures applies. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 1 - Statutory payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 1 - Co-surgeons could be paid, though supporting documentation is required... | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | ASC Payment Indicator | Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P4E - Eye procedure - other | MUE | 1 | CCS Clinical Classification | 19 - Other therapeutic procedures on eyelids, conjunctiva, cornea |
| 50 | Bilateral procedure: unless otherwise identified in the listings, bilateral procedures that are performed at the same session, should be identified by adding modifier 50 to the appropriate 5 digit code. note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 56 | Preoperative management only: when 1 physician or other qualified health care professional performed the preoperative care and evaluation and another performed the surgical procedure, the preoperative component may be identified by adding modifier 56 to the usual procedure number. | 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 78 | Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.) | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | E1 | Upper left, eyelid | E3 | Upper right, eyelid | E4 | Lower right, eyelid | GC | This service has been performed in part by a resident under the direction of a teaching physician | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) | SG | Ambulatory surgical center (asc) facility service | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure |
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| 2006-01-01 | Changed | Code description changed. |
| Pre-1990 | Added | Code added. |
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