CPT® Code 67805

The CPT® Code 67805 refers to the excision of multiple chalazia from different eyelids. A chalazion is defined as an inflammatory lesion that occurs in the eyelid due to the blockage of a sebaceous gland, which can lead to swelling and discomfort. These lesions can vary in depth; superficial chalazia are typically less severe and can often be treated in an outpatient setting using local anesthesia. In contrast, deep chalazia, which may involve deeper structures such as the meibomian glands, might necessitate hospitalization and the use of general anesthesia for removal. The procedure involves making a vertical incision on the palpebral conjunctival surface, allowing the physician to access and excise the chalazion. The removal can be performed through curettage, where the lesion is scraped out, or by dissecting it from the surrounding tissue. In cases where a deep chalazion is excised, the physician may also cauterize or remove the affected meibomian gland to ensure complete resolution. If the chalazion extends to the skin surface, the excision may be performed through an incision on the eyelid's skin rather than the conjunctiva. This code is specifically used when multiple chalazia are present on different eyelids, distinguishing it from codes that apply to single or multiple chalazia on the same eyelid.