CPT® Code 67903

The procedure described by CPT® Code 67903 involves the surgical repair of blepharoptosis, which refers to the drooping or sagging of the upper eyelid. This condition is typically caused by weakness in the levator palpebrae muscle, which is responsible for elevating the eyelid. The surgical approach utilized in this procedure is an internal method, specifically through tarso levator resection or advancement. During the operation, a local anesthetic is administered to the upper eyelid to ensure patient comfort. The surgeon takes precise measurements to determine the necessary amount of tissue resection or advancement required to correct the eyelid position. In this internal approach, the eyelid is everted, meaning it is turned inside out, and traction sutures are placed to facilitate the procedure. The planned incision lines are marked based on the previously obtained measurements, and an incision is made in the conjunctiva to access the underlying structures. This method contrasts with the external approach, which is described under CPT® Code 67904, where a skin incision is made on the upper eyelid fold. The internal approach aims to restore the normal contour and function of the eyelid while minimizing visible scarring. Overall, this procedure is essential for improving both the aesthetic appearance and functional capabilities of the eyelid in patients suffering from blepharoptosis.