CommercialBilling CodesMedium impact
Blepharoplasty
Blue Cross & Blue Shield of Mississippi·MS · Ophthalmology, Plastic Surgery·Medical Policy
Effective date
Oct 1, 2025
We identified it
Jun 20, 2026
Summary
New ICD-10 diagnosis codes H01.81-H01.8B were added to the covered codes for blepharoplasty procedures effective October 1, 2025. The policy criteria for medical necessity remain unchanged - requiring visual field improvement of 30% or better with taped eyelids and pre-operative photography showing ptotic lid 2mm above pupil midline.
Action Required
By October 1, 2025: Billing team must update coding system to include new ICD-10 diagnosis codes H01.81, H01.82, H01.83, H01.84, H01.85, H01.86, H01.89, H01.8A, and H01.8B as covered diagnoses for blepharoplasty procedures. Update encounter forms and EMR templates to include these new codes for appropriate case documentation.