Question: Which diagnosis code should I report for brow ptosis? Answer: Use 701.8 (Other specified hypertrophic and atrophic conditions of skin).
Ohio Subscriber
If the optometrist performs a procedure to correct this condition, you will need to document, perhaps with photos, that the optometrist performed this procedure for a medically necessary reason, not for cosmetic reasons.
Ask your local Medicare carrier if they have a local medical review policy for services performed for brow ptosis that lists additional guidelines for documenting the medical necessity and billing.