Question

A 70 year-old female has a drooping left eyelid obstructing her vision and has consented to having the blepharoptosis repaired. A skin marking pencil was used to outline the external proposed skin incision on the left upper eyelid. The lower edge of the incision was placed in the prominent eyelid crease. The skin was excised to the levator aponeurosis. An attenuated area of levator aponeurosis was dehisced from the lower strip. Three 6-0 silk sutures were then placed in mattress fashion, attaching this attenuated tissue superiorly to the intact tissue inferiorly. This provided moderate elevation of the eyelid. What CPT® code is reported?

Answer 1

Answer: 67904-E1

Response Feedback:

Rationale: In the CPT Index look for

Blepharoptosis /Repair/Tarso Levator Resection/

Advancement/ External Approach. You are referred to 67904. Review the code in the numeric section to verify acuracy. This is the correct code because the external approach of cutting the skin of the eyelid was performed and dissection is carried to the levator tendon. The provider uses sutures to advance the levator tendon to create a new eyelid crease.Append modifier E1 for upper left, eyelid.