CPT® Code 67405

The procedure described by CPT® Code 67405 refers to an orbitotomy performed without the creation of a bone flap, utilizing either a frontal or transconjunctival approach. An orbitotomy is a surgical intervention that involves accessing the orbit, which is the bony cavity containing the eye, to explore and address various conditions affecting the ocular region. In this specific procedure, the surgeon may perform drainage of fluid collections or other interventions as necessary, depending on the nature and location of the lesion or abnormality present. The transconjunctival approach allows for access through the conjunctiva, which is the membrane covering the eye, and can be executed via an incision made in either the upper or lower conjunctival fornix. This method minimizes external scarring and provides direct access to the orbit. During the procedure, soft tissues are carefully dissected to expose the area of interest, allowing for the identification and management of any abnormalities. If a fluid collection is identified, the surgeon will incise the tissues to facilitate drainage, and any fluid obtained may be sent for laboratory evaluation. The procedure concludes with the meticulous closure of the soft tissues and conjunctiva in layers to promote optimal healing and minimize complications.