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The procedure described by CPT® Code 68505 involves the excision of part of the lacrimal gland, specifically referred to as a dacryoadenectomy, which is performed for conditions other than the presence of a tumor. The lacrimal gland is responsible for the production of tears, and its excision may be necessary due to various medical conditions affecting its function or structure. During the procedure, the skin over the eye is first cleansed to maintain a sterile environment. A local anesthetic is then administered to ensure the patient experiences minimal discomfort during the surgery. An incision is made on the temporal aspect of the eye, allowing access to the underlying tissues. The temporal muscle is carefully exposed and retracted laterally, which facilitates the visualization and access to the lacrimal gland. Unlike the procedure described in CPT® Code 68500, where the entire gland is removed, CPT® Code 68505 specifically involves the dissection and excision of only a portion of the gland, typically the palpebral lobe. This targeted approach helps to preserve surrounding structures and maintain some gland function if possible. After the excision, the operative wound is meticulously closed in layers to promote proper healing and minimize scarring.
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