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Official Description

Repair of blepharoptosis; frontalis muscle technique with autologous fascial sling (includes obtaining fascia)

© Copyright 2026 American Medical Association. All rights reserved.

Common Language Description

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.

© Copyright 2026 Coding Ahead. All rights reserved.

1. Indications

The procedure described by CPT® Code 67902 is indicated for patients experiencing blepharoptosis, which is characterized by the following conditions:

  • Drooping Upper Eyelid: The primary indication is the presence of a sagging upper eyelid that may obstruct vision or cause cosmetic concerns.
  • Weakness of the Levator Palpebrae Muscle: This condition is often due to weakness or dysfunction of the levator palpebrae muscle, which is responsible for elevating the eyelid.
  • Functional Impairment: Patients may have difficulty with visual fields due to the eyelid drooping, necessitating surgical intervention to restore proper eyelid function.
  • Aesthetic Concerns: In addition to functional issues, patients may seek this procedure for cosmetic reasons to improve the appearance of their eyelids.

2. Procedure

The surgical procedure for CPT® Code 67902 involves several detailed steps to effectively repair blepharoptosis:

  • Preparation: The patient is positioned appropriately, and a shield is placed over the cornea to protect the eye during the procedure. Local anesthesia may be administered to ensure patient comfort.
  • Incision Above the Eyebrow: A skin incision is made just above the central portion of the eyebrow, allowing access to the underlying tissues. This incision is crucial for the placement of the sling material.
  • Subcutaneous Incisions in the Upper Eyelid: Three small subcutaneous incisions are made in the upper eyelid in the pretarsal region, located medially, centrally, and laterally just below the lid crease. These incisions facilitate the passage of the sling material.
  • Needle Passage: A needle is passed through the incision above the eyebrow, navigating between the orbicularis and levator muscles, and through the medial eyelid incision. This step is essential for threading the sling material.
  • Threading the Sling Material: A length of Silastic rod or banked fascia is threaded through the needle and retrieved through the incision above the eyebrow. This material will be used to support the eyelid.
  • Horizontal Placement: The suture material, rod, or banked fascia is then threaded horizontally across the tarsus, exiting at the previously made below crease incision in the central aspect of the eyelid. This ensures proper alignment and support for the eyelid.
  • Securing the Material: The sling material is passed through the previously made below crease lateral eyelid incision. It is secured by taking an intratarsal bite along each of the three below crease incisions, anchoring it in place.
  • Retrieving the Sling Material: A needle is passed through the incision above the eyebrow, and the suture, rod, or banked fascia is retrieved at the lateral aspect of the tarsus. This step is critical for final adjustments.
  • Adjusting Tension: If a Silastic rod has been used, a Silastic sleeve is placed over the incision above the eyebrow, and the rod is passed through the sleeve. The tension of the suture, rod, or banked fascia is adjusted to achieve the proper eyelid elevation.
  • Securing to the Frontalis Muscle: The suture, banked fascia, or rod and sleeve are secured to the deep frontalis muscle, ensuring stability and support for the eyelid.
  • Closure of Incisions: Finally, the skin incisions are closed, completing the surgical repair of blepharoptosis.

3. Post-Procedure

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
Date
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2006-01-01 Changed Code description changed.
Pre-1990 Added Code added.
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