Blepharoplasty, Eyelid Surgery, and Brow Lift

Upper blepharoplasty, blepharoptosis repair, and brow ptosis repair are covered when eyelid or brow abnormalities from dermatochalasis, blepharochalasis, blepharoptosis, or pseudoptosis produce a visually significant superior field restriction (~30 degrees) corresponding to an MRD ≤2.0 mm, or when redundant tissue clearly obscures the line of sight. Lower eyelid blepharoplasty and purely cosmetic procedures are generally non-covered; thorough documentation including specified photographs, MRD measurements, ADL impact, and informed consent is required to establish medical necessity.

"Blepharoptosis repair is covered when margin reflex distance (MRD) measured from the corneal light reflex to the upper eyelid margin with brows relaxed is 2."

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