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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.
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The excision of chalazia is indicated for patients presenting with one or more chalazia that cause discomfort, visual impairment, or cosmetic concerns. The following conditions may warrant the procedure:
The procedure for excising multiple chalazia from different eyelids involves several key steps:
Post-procedure care for patients who have undergone excision of multiple chalazia includes monitoring for any signs of infection, managing pain with prescribed medications, and following up with the physician as directed. Patients are typically advised to avoid rubbing or touching the eyes and to keep the area clean. Cold compresses may be recommended to reduce swelling and discomfort. The expected recovery time can vary, but most patients can resume normal activities within a few days, depending on the extent of the procedure and individual healing responses. Follow-up appointments are essential to ensure proper healing and to address any complications that may arise.
| Short Descr | REMOVE EYELID LESIONS | Medium Descr | EXCISION CHALAZION MULTIPLE DIFFERENT LIDS | Long Descr | Excision of chalazion; multiple, different lids | Status Code | Active Code | Global Days | 010 - Minor Procedure | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 1 - Statutory payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Procedure or Service, Multiple Reduction Applies | ASC Payment Indicator | Office-based surgical procedure added to ASC list in CY 2008 or later with MPFS nonfacility PE RVUs; payment based on MPFS nonfacility PE RVUs. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P4E - Eye procedure - other | MUE | 1 | CCS Clinical Classification | 19 - Other therapeutic procedures on eyelids, conjunctiva, cornea |
| 50 | Bilateral procedure: unless otherwise identified in the listings, bilateral procedures that are performed at the same session, should be identified by adding modifier 50 to the appropriate 5 digit code. note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 78 | Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.) | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | E1 | Upper left, eyelid | E2 | Lower left, eyelid | E3 | Upper right, eyelid | E4 | Lower right, eyelid | GW | Service not related to the hospice patient's terminal condition | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
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| Pre-1990 | Added | Code added. |
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