2025 CPT code 67800
Effective Date: N/A Surgery - Surgical Procedures on the Eye and Ocular Adnexa Feed
Excision of chalazion; single.
Modifiers may be used to indicate the specific eyelid involved (E1-E4) or other circumstances, such as increased procedural services (22).
Medical necessity for chalazion excision is established when the chalazion is causing symptoms such as pain, vision impairment, or cosmetic concerns, or when conservative treatments have failed.
The physician is responsible for preparing the patient, administering anesthesia, performing the excision, controlling bleeding, closing the incision, and applying antibiotic ointment.
In simple words: Removal of a small bump on the eyelid caused by a blocked oil gland.
This code describes the surgical removal of a single chalazion, a small cyst or nodule on the eyelid caused by a blocked oil gland. The procedure typically involves making an incision in the eyelid, removing the contents of the chalazion, and then closing the incision.
Example 1: A patient presents with a persistent chalazion on their upper eyelid that has not responded to conservative treatment. The physician performs a chalazion excision (67800) to remove the lesion., A child has a large chalazion obstructing their vision. The ophthalmologist performs a chalazion excision under general anesthesia (67800)., A patient has multiple chalazia on the same eyelid. The physician excises two distinct chalazia, coding 67800 for the first and 67805 for the second.
Documentation should include the location and size of the chalazion, the method of removal, any complications, and post-operative instructions.
- Revenue Code: P6C
- Specialties:Ophthalmology, Optometry
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center