CPT^® 67904, Under Repair (Brow Ptosis, Blepharoptosis, Lid Retraction, Ectropion, Entropion) Procedures on the Eyelids

The Current Procedural Terminology (CPT^®) code 67904 as maintained by American Medical Association, is a medical procedural code under the range - Repair (Brow Ptosis, Blepharoptosis, Lid Retraction, Ectropion, Entropion) Procedures on the Eyelids.

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Summary

The provider repairs a drooping eyelid by tightening the levator muscle that controls eyelid movement to improve cosmetic appearance or remove the obstruction to a patient’s vision. He accesses the muscle from the outer side of the eyelid.

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Bleph/ with Ptosis Repar

[B]NCCI Edit Results:[/B] Edit exists with 67904. 15823 is a Column 2 code. If both 67904 and 15823 are submitted, only 67904 will be paid. - This edit CAN be overridden via CCI-associated modifiers W... [ Read More ]

Bleph/ with Ptosis Repar

He actually does cpt code 67904 along with 15823 but according to cci edits they will only pay the one code. This has confused me and on another thread I read they both can be billed with a 51 modifie... [ Read More ]

ASC & Surgeon billing - multiple procedures

Multiple Procedures done / same session - Bill higher reimbursement for surgeon or ASC? Example: 15823-RT (Blepharoplasty) & 67904-RT (Ptosis repair) / NCCI PTP Edits state you can only bill one HCPCS... [ Read More ]

Multiple Procedures / ASC & surgeon billing same CPT/HCPCS

You cannot choose which one you want to bill based on reimbursement - you have to follow the policy. The blepharoplasty is considered incidental to the ptosis repair, so you would just bill the 67904... [ Read More ]

Multiple Procedures / ASC & surgeon billing same CPT/HCPCS

15823 (Blepharoplasty) & 67904 (Ptosis repair) performed at Ambulatory Surgery Center. NCCI PTP Edits state we can bill only one. Medicare allows more for the 67904 and less for 15823 for the surgeo... [ Read More ]

How do you code for 67904 on both eyes?

How do you code for 67904 on both eyes? Modifier 50 is not eligible and the MUE is only one.... [ Read More ]

Visual Field Testing

When billing CPT codes 67904 (repair of blepharoptois) and/or 15823 (blepharoplasty), Medicare required VF testing however I have been told that it is no longer required. I cannot find anything to b... [ Read More ]

Levator Advancement and Canthopexy

Does anyone know if it is appropriate to code a Canthopexy with a Levator Advancement 67904 and 21282 Thanks... [ Read More ]

Eye surgery

I'm having a hard time explaining to my physician the proper way to bill out for 67904 and 15823 during same surgical session. Can he bill both for both eyes using a "59" on the 15823 or is it conside... [ Read More ]

67904 and 15823 together

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