CPT code 67800 represents the surgical removal of a chalazion, an eyelid nodule caused by blockage and chronic inflammation of an oil gland. This minor ophthalmic procedure is frequently performed in outpatient clinics and ambulatory surgical settings and is a common reason for referral to ophthalmology. Nationally, the code matters for procedural billing, surgical access, and alignment of coverage policies for low-complexity eyelid surgeries.

Key payers included in this review are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of clinical context and typical sites of service, benchmarking information on utilization and coding frequency where available, and a concise summary of payer coverage patterns and policy considerations that affect prior authorization and payment. The publication also highlights common procedural modifiers and coding practice considerations relevant to documentation and claims submission.

This summary provides clinicians, coders, and policy analysts with the operational context for CPT code 67800, including what it represents, where it is typically performed, and which major payers are relevant for national billing and coverage discussions. Data not available in the input will be noted in detail sections.