Brow Ptosis Repair
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Blepharoplasty, Blepharoptosis, and Brow Ptosis Repair
www.uhcprovider.comDocumentation indicating the specific brow lift procedure (e.g., supra-ciliary, mid forehead or coronal, pretrichial, direct brow lift vs browpexy, internal brow lift) Brow ptosis repair (CPT 67900) as an adjunct to upper eyelid blepharoplasty (CPT 15822 and 15823) is considered
Medicare Advantage Prior Authorization Request Form — Fax ...
www.harvardpilgrim.orgRepair of Pectus Excavatum Repair of Pectus Carinatum Repair of Chest Wall Deformity for Poland Syndrome Breast Implant Removal and/or Revision Breast Reconstruction Eye Procedures Brow Ptosis Repair Lower Blepharoplasty Upper Blepharoplasty Upper Blepharoptosis Repair Nasal Procedures Rhinophyma Treatment Rhinoplasty Septoplasty
Blepharoplasty (ii) Botulinum toxin injections ...
www.cms.govJul 01, 2020 · 67900 Repair of brow ptosis 67901 Repair of upper eyelid muscle to correct drooping or paralysis 67902 Repair of upper eyelid muscle to correct drooping or paralysis 67903 Shortening or advancement of upper eyelid muscle to correct drooping or paralysis, internal approach 67904 Repair of tendon of upper eyelid, external approach
Services that require authorization for Michigan providers
ereferrals.bcbsm.comDec 22, 2021 · • Blepharoplasty and repair of brow ptosis • Blepharoplasty, lower lid repair Cardiac ablation : Prior authorization is required. Use the e-referral system to submit the request, complete the questionnaire for . radiofrequency ablation (RFA), cardiac, trigger, and then complete one or more of the following questionnaires:
PRIOR AUTHORIZATION LIST - Paramount Health Care
www.paramounthealthcare.comCall Paramount's Provider Inquiry Department at 419-887-2564 or toll-free at 1-888-891-2564. Electronic submission is preferred. Fax prior authorization request to the appropriate fax number or toll-free at 1-866-214-2024.