Medicare pays $829 on average nationally for this procedure.

CPT code 67405 describes a surgical procedure in which the provider makes an incision in the periorbital/eye area to access the orbit without creating a bone flap for drainage of an abscess or other fluid collection; this is an incision and drainage surgical service typically performed in an operating room or procedure suite under appropriate anesthesia and is classified as an orbital drainage via external/periorbital approach.

For related coverage guidance, see recent payer policy updates: Evaluation of Dry Eyes, Evaluation of Dry Eyes, Ophthalmic Prostaglandin Analog Prior Authorization Criteria.