67921 Insurance Policy Changes

Blepharoplasty, Blepharoptosis Repair and Brow Lift - Medicare Advantage (Revised)

Humana Medicare Advantage has revised its coverage policy for blepharoplasty, blepharoptosis repair, and brow lift procedures effective 09/01/2026. The policy clarifies medical necessity criteria for specific procedures (overcorrection reduction, eyelid retraction, ectropion/entropion repair) and establishes standardized canthoplasty coverage requirements across all jurisdictions. Billing teams must ensure claims for these procedures include proper medical necessity documentation and align with MAC-specific LCDs by jurisdiction.