Brow Ptosis and Eyelid Repair
UnitedHealthcare Medicare Advantage policy providing coverage guidance, applicable CPT procedure codes, ICD-10 diagnosis exclusions for cosmetic canthopexy, CMS/LCD cross-references, and instructions for use for brow ptosis and eyelid repair procedures. It governs Medicare Advantage claims review and references local Medicare contractor policies where applicable.
Added list of applicable non-covered diagnosis codes for Canthopexy (Z40.89, Z40.9, Z41.1, Z41.3, Z41.8, Z41.9).
Updated CMS Related Documents list to reflect most current Medicare Coverage Database information.
Added reference links to CMS Benefit Policy Manual Chapter 16 §§10,120,180 and CMS Claims Processing Manual Chapter 1 §60.1.
Archived previous policy version MMP007.08.