Blepharoplasty, Blepharoptosis Repair and Brow Lift - MEDICAID - FLORIDA

This policy covers blepharoplasty, blepharoptosis repair, brow lift and related eyelid procedures (eg, entropion/ectropion repair, canthoplasty, lid‑margin excision — multiple CPT codes listed) for patients with functional eyelid disorders such as dermatochalasis causing visual field obstruction, ptosis producing superior field defect or ocular symptoms (epiphora, pain), floppy eyelid syndrome, trichiasis, entropion/ectropion, and symptomatic pediatric epiblepharon. Coverage is limited to cases that meet specific clinical criteria (eg, ptosis from congenital/muscular/neurologic causes or documented functional visual impairment), requires high‑quality clinical photographs and documented trials of conservative treatment (typically 6–12 weeks unless contraindicated), and excludes purely cosmetic blepharoplasty or procedures without the required findings or documentation.

"Brow ptosis occurring bilaterally or unilaterally."