CPT® Code 67800

The CPT® Code 67800 refers to the excision of a single chalazion, which is a common procedure performed by ophthalmologists. A chalazion is defined as an inflammatory lesion that occurs on the eyelid, resulting from the obstruction of a sebaceous gland. This obstruction can lead to the formation of a cyst-like structure that may vary in depth, being classified as either superficial or deep based on the specific gland that is blocked. Superficial chalazia are typically amenable to removal under local anesthesia, allowing for outpatient treatment. In contrast, deep chalazia, particularly those involving the meibomian glands, may necessitate hospitalization and the use of general anesthesia due to their complexity and the potential for more extensive surgical intervention. During the procedure, the physician makes a vertical incision on the palpebral conjunctival surface to access the chalazion. The removal of the chalazion can be accomplished through curettage, which involves scraping out the lesion, or by carefully dissecting it from the surrounding tissue. In cases where a deep chalazion is excised, particularly if it involves a meibomian gland, the physician may also perform cauterization or complete removal of the affected gland to ensure thorough treatment. If the chalazion extends to the skin surface, the excision may be performed through an incision made directly on the skin of the eyelid rather than through the conjunctiva. This code is specifically utilized when the excision of a single chalazion is performed under local anesthesia without the need for hospitalization, distinguishing it from other related codes that address multiple chalazia or those requiring more extensive surgical measures.