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CPT 67808: Excision of Chalazia Under General Anesthesia
CPT code 67808 covers the surgical excision of one or multiple chalazia from the eyelid performed under general anesthesia. This code is used primarily when patients — often young children or uncooperative individuals — cannot tolerate procedures under local anesthesia. Nationally, correct use of this code ensures accurate classification of surgical eyelid procedures that require an anesthetized setting and supports appropriate claims processing and resource allocation.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise explanation of the code’s clinical context and service setting, typical payer coverage considerations, and the types of benchmarks and policy updates that affect billing and reimbursement for anesthetized ophthalmic minor surgery. The publication outlines common billing modifiers associated with surgical services and anesthesia, discusses where the procedure is typically performed (operating room or ambulatory surgery center), and highlights areas where policy or documentation clarity can affect payment. Data not available in the input will be noted where applicable.
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Billing Code Overview
CPT code 67808 describes the surgical removal of one or more chalazia (small, localized eyelid masses) performed under general anesthesia. The procedure is typically used when patients are young, uncooperative, or otherwise unable to tolerate removal under local anesthesia.
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Service type: Surgical excision of eyelid lesion(s) under general anesthesia
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Typical site of service: Operating room or ambulatory surgery center where general anesthesia can be administered
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