Please refer to the member’s contract benefits in effect at the time of service to determine coverage or non- coverage of these services as it applies to an individual member. CPT 00103 Anesthesia for reconstructive procedures of eyelid (e.g., blepharoplasty, ptosis surgery) ...
1. Brow ptosis is causing a functional impairment of upper/outer visual fields with documented patient complaints of interference with vision or visual field related activities such as difficulty reading due to upper eyelid drooping, looking through the eyelashes or seeing the upper eyelid skin; AND...