PA Lookup
If you have questions about prior authorizations, please call:
Member and Recipient Service Line: 1-877-685-2415
Provider Support Service Line: 1-855-250-1539
Correction of trichiasis; incision of lid margin, with free mucous membrane graft
How to Submit
N/A - No authorization is required
Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure
How to Submit
N/A - No authorization is required
Destruction of lesion of lid margin (up to 1 cm)
How to Submit
N/A - No authorization is required
Temporary closure of eyelids by suture (eg, Frost suture)
How to Submit
N/A - No authorization is required
Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy;
How to Submit
N/A - No authorization is required
Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate
How to Submit
N/A - No authorization is required
Repair of brow ptosis (supraciliary, mid-forehead or coronal approach)
Authorization Guidelines
Please submit any records and any other information that you believe support the member has met the applicable medical necessity criteria to Trillium.
How to Submit
Please submit your request to Trillium Health Resources
Blepharoplasty and Blepharoptosis Eyelid Repair
Blepharoplasty and blepharoptosis eyelid repair are reconstructive plastic surgery procedures of the eyelids. Surgery of the upper eyelids is reconstructive when it provides functional vision or visual field benefits or improves the functioning of a malformed or degenerated body member. The goal of reconstructive surgery is to restore function to the eye structure.
Authorization Guidelines
The provider(s) shall submit the following:
- a. the prior approval request; and
- b. all health records and any other records that support the beneficiary has met
the specific criteria in Subsection 3.2.1 of this policy.
Exclusions
Medicaid shall not cover blepharoplasty and blepharoptosis eyelid repair performed solely for cosmetic reasons to enhance aesthetic appearance.
Place of Service
Inpatient, Outpatient, Office
How to Submit
Please submit your request to Trillium Health Resources
Resources
Blepharoplasty and Blepharoptosis Eyelid Repair
Blepharoplasty and blepharoptosis eyelid repair are reconstructive plastic surgery procedures of the eyelids. Surgery of the upper eyelids is reconstructive when it provides functional vision or visual field benefits or improves the functioning of a malformed or degenerated body member. The goal of reconstructive surgery is to restore function to the eye structure.
Authorization Guidelines
In addition to the general requirements , providers are also required to submit the following: a. medical documentation that the eyelid ptosis obstructs vision including visual field examination results, unless the beneficiary is unable to test; b. medical documentation that the beneficiary has exposure keratitis of the lower eyelid; or c. medical documentation to substantiate medical necessity for surgery including the following:
- 1. beneficiary complaints of interference with vision or visual fields,
difficulty reading due to eyelid drooping, looking through eyelashes, or seeing upper eyelid skin;
- 2. relevant medical history;
- 3. physical examination findings; and
- 4. results of pertinent diagnostic tests or procedures
Exclusions
Medicaid shall not cover blepharoplasty and blepharoptosis eyelid repair performed solely for cosmetic reasons to enhance aesthetic appearance.
Place of Service
Inpatient, Outpatient, Office
How to Submit
Please submit your request to Trillium Health Resources
Resources
Blepharoplasty and Blepharoptosis Eyelid Repair
Blepharoplasty and blepharoptosis eyelid repair are reconstructive plastic surgery procedures of the eyelids. Surgery of the upper eyelids is reconstructive when it provides functional vision or visual field benefits or improves the functioning of a malformed or degenerated body member. The goal of reconstructive surgery is to restore function to the eye structure.
Authorization Guidelines
In addition to the general requirements , providers are also required to submit the following: a. medical documentation that the eyelid ptosis obstructs vision including visual field examination results, unless the beneficiary is unable to test; b. medical documentation that the beneficiary has exposure keratitis of the lower eyelid; or c. medical documentation to substantiate medical necessity for surgery including the following:
- 1. beneficiary complaints of interference with vision or visual fields,
difficulty reading due to eyelid drooping, looking through eyelashes, or seeing upper eyelid skin;
- 2. relevant medical history;
- 3. physical examination findings; and
- 4. results of pertinent diagnostic tests or procedures
Exclusions
Medicaid shall not cover blepharoplasty and blepharoptosis eyelid repair performed solely for cosmetic reasons to enhance aesthetic appearance.
Place of Service
Inpatient, Outpatient, Office
How to Submit
Please submit your request to Trillium Health Resources
Resources
Blepharoplasty and Blepharoptosis Eyelid Repair
Blepharoplasty and blepharoptosis eyelid repair are reconstructive plastic surgery procedures of the eyelids. Surgery of the upper eyelids is reconstructive when it provides functional vision or visual field benefits or improves the functioning of a malformed or degenerated body member. The goal of reconstructive surgery is to restore function to the eye structure.
Authorization Guidelines
In addition to the general requirements , providers are also required to submit the following: a. medical documentation that the eyelid ptosis obstructs vision including visual field examination results, unless the beneficiary is unable to test; b. medical documentation that the beneficiary has exposure keratitis of the lower eyelid; or c. medical documentation to substantiate medical necessity for surgery including the following:
- 1. beneficiary complaints of interference with vision or visual fields,
difficulty reading due to eyelid drooping, looking through eyelashes, or seeing upper eyelid skin;
- 2. relevant medical history;
- 3. physical examination findings; and
- 4. results of pertinent diagnostic tests or procedures
Exclusions
Medicaid shall not cover blepharoplasty and blepharoptosis eyelid repair performed solely for cosmetic reasons to enhance aesthetic appearance.
Place of Service
Inpatient, Outpatient, Office
How to Submit
Please submit your request to Trillium Health Resources
Resources
Blepharoplasty and Blepharoptosis Eyelid Repair
Blepharoplasty and blepharoptosis eyelid repair are reconstructive plastic surgery procedures of the eyelids. Surgery of the upper eyelids is reconstructive when it provides functional vision or visual field benefits or improves the functioning of a malformed or degenerated body member. The goal of reconstructive surgery is to restore function to the eye structure.
Authorization Guidelines
In addition to the general requirements , providers are also required to submit the following: a. medical documentation that the eyelid ptosis obstructs vision including visual field examination results, unless the beneficiary is unable to test; b. medical documentation that the beneficiary has exposure keratitis of the lower eyelid; or c. medical documentation to substantiate medical necessity for surgery including the following:
- 1. beneficiary complaints of interference with vision or visual fields,
difficulty reading due to eyelid drooping, looking through eyelashes, or seeing upper eyelid skin;
- 2. relevant medical history;
- 3. physical examination findings; and
- 4. results of pertinent diagnostic tests or procedures
Exclusions
Medicaid shall not cover blepharoplasty and blepharoptosis eyelid repair performed solely for cosmetic reasons to enhance aesthetic appearance.
Place of Service
Inpatient, Outpatient, Office
How to Submit
Please submit your request to Trillium Health Resources
Resources
Blepharoplasty and Blepharoptosis Eyelid Repair
Blepharoplasty and blepharoptosis eyelid repair are reconstructive plastic surgery procedures of the eyelids. Surgery of the upper eyelids is reconstructive when it provides functional vision or visual field benefits or improves the functioning of a malformed or degenerated body member. The goal of reconstructive surgery is to restore function to the eye structure.
Authorization Guidelines
In addition to the general requirements , providers are also required to submit the following: a. medical documentation that the eyelid ptosis obstructs vision including visual field examination results, unless the beneficiary is unable to test; b. medical documentation that the beneficiary has exposure keratitis of the lower eyelid; or c. medical documentation to substantiate medical necessity for surgery including the following:
- 1. beneficiary complaints of interference with vision or visual fields,
difficulty reading due to eyelid drooping, looking through eyelashes, or seeing upper eyelid skin;
- 2. relevant medical history;
- 3. physical examination findings; and
- 4. results of pertinent diagnostic tests or procedures
Exclusions
Medicaid shall not cover blepharoplasty and blepharoptosis eyelid repair performed solely for cosmetic reasons to enhance aesthetic appearance.
Place of Service
Inpatient, Outpatient, Office
How to Submit
Please submit your request to Trillium Health Resources
Resources
Blepharoplasty and Blepharoptosis Eyelid Repair
Blepharoplasty and blepharoptosis eyelid repair are reconstructive plastic surgery procedures of the eyelids. Surgery of the upper eyelids is reconstructive when it provides functional vision or visual field benefits or improves the functioning of a malformed or degenerated body member. The goal of reconstructive surgery is to restore function to the eye structure.
Authorization Guidelines
In addition to the general requirements , providers are also required to submit the following: a. medical documentation that the eyelid ptosis obstructs vision including visual field examination results, unless the beneficiary is unable to test; b. medical documentation that the beneficiary has exposure keratitis of the lower eyelid; or c. medical documentation to substantiate medical necessity for surgery including the following:
- 1. beneficiary complaints of interference with vision or visual fields,
difficulty reading due to eyelid drooping, looking through eyelashes, or seeing upper eyelid skin;
- 2. relevant medical history;
- 3. physical examination findings; and
- 4. results of pertinent diagnostic tests or procedures
Exclusions
Medicaid shall not cover blepharoplasty and blepharoptosis eyelid repair performed solely for cosmetic reasons to enhance aesthetic appearance.
Place of Service
Inpatient, Outpatient, Office
How to Submit
Please submit your request to Trillium Health Resources
Resources
Blepharoplasty and Blepharoptosis Eyelid Repair
Blepharoplasty and blepharoptosis eyelid repair are reconstructive plastic surgery procedures of the eyelids. Surgery of the upper eyelids is reconstructive when it provides functional vision or visual field benefits or improves the functioning of a malformed or degenerated body member. The goal of reconstructive surgery is to restore function to the eye structure.
Authorization Guidelines
In addition to the general requirements , providers are also required to submit the following: a. medical documentation that the eyelid ptosis obstructs vision including visual field examination results, unless the beneficiary is unable to test; b. medical documentation that the beneficiary has exposure keratitis of the lower eyelid; or c. medical documentation to substantiate medical necessity for surgery including the following:
- 1. beneficiary complaints of interference with vision or visual fields,
difficulty reading due to eyelid drooping, looking through eyelashes, or seeing upper eyelid skin;
- 2. relevant medical history;
- 3. physical examination findings; and
- 4. results of pertinent diagnostic tests or procedures
Exclusions
Medicaid shall not cover blepharoplasty and blepharoptosis eyelid repair performed solely for cosmetic reasons to enhance aesthetic appearance.
Place of Service
Inpatient, Outpatient, Office
How to Submit
Please submit your request to Trillium Health Resources
Resources
Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight)
How to Submit
N/A - No authorization is required
Repair of ectropion; suture
How to Submit
N/A - No authorization is required
Repair of ectropion; thermocauterization
How to Submit
N/A - No authorization is required
Repair of ectropion; excision tarsal wedge
How to Submit
N/A - No authorization is required
Repair of ectropion; extensive (eg, tarsal strip operations)
How to Submit
N/A - No authorization is required
If you find any wrong or out of date information on our pages, we want to know. Please email info@TrilliumNC.org with any corrections.