CPT® Code 67801

The CPT® Code 67801 refers to the excision of multiple chalazia from the same eyelid. 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 can typically be addressed in an outpatient setting using local anesthesia, allowing for a less invasive approach. 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. The procedure involves making a vertical incision on the palpebral conjunctival surface, followed by the removal of the chalazion through curettage or dissection from the surrounding tissue. In cases where the chalazion is associated with a meibomian gland, the physician may opt to cauterize or excise the gland itself. If the chalazion extends to the skin surface, an incision may be made directly on the eyelid skin rather than through the conjunctiva. It is important to note that for the excision of a single chalazion, the appropriate code is 67800, while 67805 is designated for multiple chalazia affecting both eyelids. In instances where general anesthesia or hospitalization is required for the removal of one or more chalazia, the code 67808 should be utilized.