How To Use CPT Code 67805

CPT 67805 describes the excision of chalazion from multiple different eyelids. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 67805?

CPT 67805 can be used to describe the excision of chalazion from multiple different eyelids. This code is used when the provider removes numerous chalazia, which are small masses in the eyelid, from different eyelids.

2. Official Description

The official description of CPT code 67805 is: ‘Excision of chalazion; multiple, different lids.’

3. Procedure

1. The provider preps and anesthetizes the patient appropriately.
2. Chalazion forceps are placed on the lesion and pushed aside.
3. A vertical incision is made into the lesion to remove the debris and fibrous tissues.
4. The same procedure is performed on the other eyelid.
5. The clamp is removed, the site is flushed with sterile saline, hemostasis is assured, and antibiotics are administered at the site.

4. Qualifying circumstances

Patients eligible to receive CPT 67805 services are those with chalazion in multiple different eyelids. Chalazion is a small cyst in the eyelid that results in inflammation of the eye. The provider must remove numerous chalazia from different eyelids during the procedure.

5. When to use CPT code 67805

CPT code 67805 should be used when the provider is performing the excision of chalazion from multiple different eyelids. This code should not be used for a single chalazion or multiple chalazion from the same eyelid.

6. Documentation requirements

To support a claim for CPT 67805, the provider must document the following information:

• Diagnosis of chalazion in multiple different eyelids
• Details of the procedure, including the use of chalazion forceps, vertical incision, removal of debris and fibrous tissues, and administration of antibiotics
• Date and duration of the procedure
• Any complications or additional treatments provided
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 67805, ensure that the provider is performing the excision of chalazion from multiple different eyelids. This code should not be reported with other codes for excision of chalazion from a single eyelid or under general anesthesia. It is important to use the appropriate code based on the specific circumstances of the procedure.

8. Historical information

CPT 67805 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates to the code since its addition.

9. Examples

1. A provider performing the excision of chalazion from multiple different eyelids in a patient with chalazion in both upper and lower eyelids.
2. A patient undergoing the removal of numerous chalazia from different eyelids due to recurrent inflammation and discomfort.
3. A provider performing the excision of chalazion from multiple different eyelids in a patient with chalazion in both left and right eyelids.
4. A patient with multiple chalazia in different eyelids undergoing the surgical removal of the masses for cosmetic reasons.
5. A provider performing the excision of chalazion from multiple different eyelids in a patient with chronic chalazion in various eyelids.
6. A patient with chalazion in both upper and lower eyelids undergoing the removal of numerous chalazia from different eyelids to alleviate symptoms and improve vision.
7. A provider performing the excision of chalazion from multiple different eyelids in a patient with chalazion in both inner and outer eyelids.
8. A patient with recurrent chalazia in different eyelids undergoing the surgical removal of the masses to prevent further complications.
9. A provider performing the excision of chalazion from multiple different eyelids in a patient with chalazion in both upper and lower eyelids.
10. A patient with chalazion in various eyelids undergoing the removal of numerous chalazia from different eyelids for therapeutic purposes.