Summary & Overview
CPT 67908: Eyelid Ptosis Repair (Fasanella–Servat Procedure)
CPT code 67908 covers oculoplastic eyelid surgery to correct blepharoptosis by resecting and plicating the levator/Muller muscles along with tarsus and conjunctiva, commonly referenced as the Fasanella–Servat procedure. This code matters nationally because eyelid procedures impact functional vision and patient quality of life and are billed across ambulatory surgical centers and hospital outpatient departments. Payers commonly relevant to national analyses include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.
Readers will find a concise clinical and billing overview, payer coverage context, and benchmarks where available. The publication outlines clinical indications and typical sites of service, common billing modifiers (input provided), and areas where payers may apply coverage criteria or preauthorization. The analysis highlights reimbursement benchmarks, coding nuances for oculoplastic surgeons, and policy considerations that affect prior authorization and medical necessity determinations. Data not available in the input for associated taxonomies, specific ICD-10 diagnosis mappings, and related codes is noted as such. The content is intended for national stakeholders including clinicians, billing professionals, and policy analysts seeking a clear summary of CPT code 67908 and its clinical billing context.
Billing Code Overview
CPT code 67908 describes surgical correction of blepharoptosis by resection and plication of the levator/Muller muscles with removal of tarsus and conjunctiva, for example the Fasanella–Servat procedure. The procedure addresses drooping of the upper eyelid by shortening and advancing the eyelid elevating muscles and adjacent tissues.
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Service type: Oculoplastic eyelid surgery
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Typical site of service: Ambulatory surgical center or hospital outpatient department for minor to moderate eyelid surgical procedures
Data not available in the input for associated taxonomies, ICD-10 diagnoses, and related codes.
Clinical & Coding Specifications
Clinical Context
A typical patient is an adult presenting to an oculoplastic or ophthalmology clinic with symptomatic acquired upper eyelid ptosis causing visual field obstruction or cosmetic concern. The patient often reports eyelid droop that worsens over the day, may have compensatory brow elevation, and on exam displays good to fair levator function with aponeurotic or conjunctival-based ptosis. Preoperative evaluation includes visual acuity, external and slit-lamp exam, measurement of margin-reflex distance (MRD1), levator function testing, eyelid crease assessment, and discussion of risks and benefits. Preoperative photos and informed consent are obtained.
The day-of-service workflow typically occurs in an ambulatory surgical center or hospital outpatient setting. The patient receives local anesthesia with or without monitored anesthesia care. The surgeon performs a Fasanella–Servat type resection/plication that includes tarsal and conjunctival tissue resection with advancement or plication of the levator/Müller muscle complex to elevate the eyelid. Hemostasis is achieved, sutures are placed, and the patient is recovered in a PACU area with discharge instructions for wound care and follow-up. Postoperative visits assess eyelid position, suture removal, and any complications such as overcorrection, undercorrection, or granuloma formation.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
25 | Data not available in the input. | Data not available in the input. |