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Response to Comments: Blepharoplasty, Blepharoptosis Repair and Surgical Procedures of the Brow
A58587
First Coast Service Options, Inc. (J09)
Effective: February 4, 2021
Updated: December 31, 2025
Policy Summary
This document is an administrative response to public comments on the proposed Local Coverage Determination (LCD) DL35004 / DL34028 regarding blepharoplasty, blepharoptosis repair, and surgical brow procedures. It states that comments from state ophthalmology societies were reviewed and incorporated into the final LCD where applicable. No specific clinical coverage criteria, documentation requirements, frequency limits, or exclusions are provided in this response document; extract clinical criteria from the final LCDs (DL35004 / DL34028) for detailed coverage rules.
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