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The CPT® Code 67906 refers to the surgical procedure for the repair of blepharoptosis, which is characterized by the drooping or sagging of the upper eyelid. This condition typically arises due to weakness in the levator palpebrae muscle, which is responsible for elevating the eyelid. The procedure utilizes a superior rectus technique combined with a fascial sling, which involves the use of a graft obtained from fascia lata, typically harvested from the lateral thigh. The surgery aims to restore the normal position of the eyelid, thereby improving both functional and aesthetic aspects for the patient. The process includes making incisions in specific areas to access the necessary muscles and tissues, allowing for the precise placement of the fascial graft to support the eyelid. It is important to note that while this technique is still coded under CPT® 67906, it is considered somewhat outdated, as more modern approaches, such as levator resection and advancement procedures, have become preferred methods for addressing blepharoptosis.
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The procedure coded under CPT® 67906 is indicated for patients experiencing blepharoptosis, which may present with the following conditions:
The surgical procedure for CPT® 67906 involves several detailed steps to effectively repair blepharoptosis:
After the procedure coded under CPT® 67906, patients can expect specific post-operative care and considerations. It is essential 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 expected recovery time may vary, but patients should be informed about the potential for temporary discomfort and the gradual improvement in eyelid position and function.
| Short Descr | REPAIR EYELID DEFECT | Medium Descr | RPR BLEPHAROPTOSIS SUPERIOR RECTUS FASCIAL SLING | Long Descr | Repair of blepharoptosis; superior rectus technique with 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) | 0 - Co-surgeons not permitted for this procedure. | 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). | 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 | 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) |
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| Pre-1990 | Added | Code added. |
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