Eyebrow and Eyelid Repair - MEDICAID - FLORIDA

This Humana Medicaid (FL) policy covers specific eyebrow and eyelid surgical procedures (brow lift, reduction of overcorrection of ptosis, correction of eyelid retraction, and repair of floppy eyelid syndrome) only when the detailed clinical criteria and documentation requirements are met (photographic evidence, measurements, symptom documentation, and prior conservative treatment failure where required). Procedures are considered cosmetic and not medically necessary when performed for indications other than those explicitly listed; reduction of overcorrection is covered only following a medically necessary primary blepharoplasty or blepharoptosis repair.

"Brow lift (brow ptosis repair, browpexy) (67900) for brow ptosis and/or laxity of the forehead muscles when the following criteria are met: One frontal (straight ahead) photograph documenting droop..."

Sign up to see full coverage criteria, indications, and limitations.