Eye and Ocular Adnexa, 67800, 67805 (Q&A) (September 1999)
September 1999 page 10e
Coding Consultation
Eye and Ocular Adnexa, 67800, 67805 (Q&A)
Question
A patient presented to my physician's office for removal of chalazions, one on the right upper eyelid and another on the left upper eyelid. Would it be appropriate to report code 67800 with the modifier -50, or would it be more appropriate to report code 67805?
AMA Comment
From a CPT coding perspective, the series of codes for excision of chalazion 67800-67808 are unilateral codes. Therefore, if two chalazion are excised, one from the right upper eyelid and one from the left upper eyelid...
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Note: The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.
Article Overview
This article addresses a coding consultation in ophthalmology focused on CPT guidance for chalazion excision scenarios. It is relevant to coders and billing staff working with eye and ocular adnexa procedures, especially when comparing reporting options for procedures involving more than one eyelid. The discussion centers on CPT coding terminology, modifier use, and how the article distinguishes between procedural patterns without providing broader policy updates.
Why This Topic Matters
Accurate reporting for eye and eyelid procedures depends on understanding how the procedure set is structured and when modifier use or alternate procedure reporting may be considered. This article helps coders recognize the relevant CPT framework for a common ophthalmic scenario.
Article Sections
Coding Consultation
Introduces the coding question and the general ophthalmic procedure context. The section frames the issue for CPT-based reporting in eye and ocular adnexa procedures.
AMA Comment
Presents the CPT-oriented response and explains the broader reporting context for the procedure family. The section contrasts different reporting approaches for chalazion excision scenarios.
What You Will Learn
How the article frames CPT coding questions for ophthalmic procedures
What general topics are discussed in relation to chalazion excision reporting
How the article presents modifier-related guidance in a consulting format
How multiple-lid procedure scenarios are discussed at a high level
Who Should Read This
Medical coders
Billing staff
Ophthalmology practice staff
Revenue cycle professionals
Compliance reviewers
Codes Discussed
CPT: 67800
CPT: 67805
Code Ranges Discussed
CPT: 67800-67808
Modifiers Discussed
CPT: -50
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