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The CPT® Code 67840 refers to the excision of a lesion located on the eyelid, specifically excluding chalazia, which are cysts that form due to blocked oil glands. This procedure involves the surgical removal of the lesion along with a margin of healthy tissue to ensure complete excision. Prior to the procedure, the area surrounding the lesion is disinfected to minimize the risk of infection, and a local anesthetic is administered to ensure patient comfort during the excision. The surgeon makes an incision through the skin over the lesion, allowing for the removal of the lesion itself. After excision, the tissue is typically sent to a laboratory for histological evaluation, which is a separate reportable service that assesses the tissue for any pathological conditions. Following the excision, the incision may either be left open to heal naturally by secondary intention or may be closed using a simple direct closure technique, which involves suturing the skin in a single layer. This procedure is essential for diagnosing and treating various eyelid lesions, ensuring both cosmetic and functional outcomes for the patient.
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