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CPT 67909: Revision of Ptosis Repair, Levator Tension Reduction
CPT code 67909 represents a surgical revision of a previous blepharoptosis repair, in which the surgeon decreases tension on the levator or related eyelid-elevating muscles to restore normal eyelid closure. Nationally, this code is important because revisions for persistent or recurrent ptosis affect access to functional and cosmetic eye care and can influence surgical quality metrics and post-operative complication tracking.
Key payers in this review include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The analysis highlights payer coverage patterns, reimbursement benchmarks, and clinical context for when revisions are reported versus primary ptosis procedures.
Readers will learn: clinical indications and typical care settings for a ptosis revision, how 67909 is used in billing relative to primary ptosis repairs, common billing modifiers in practice (Data not available in the input), and where national payers commonly process claims for revision procedures. The summary provides operational context for providers, coders, and revenue teams seeking to align documentation with the surgical intent and site-of-service expectations.
Data not available in the input: associated taxonomies, specific ICD-10 diagnoses, payer-specific fee schedules, and related codes.
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Billing Code Overview
CPT code 67909 describes a revision of a prior surgical procedure performed to correct blepharoptosis (drooping eyelid). The procedure reduces tension on the eyelid-elevating muscles so the eyelid can close normally after an earlier corrective surgery.
Service type: Revision of prior eyelid ptosis repair
Typical site of service: Ambulatory surgical center or hospital outpatient/operating room, often performed by an oculoplastic or ophthalmic plastic surgeon.