CPT CODES

CPT Code 40520

CPT code 40520 is for the partial excision of the lip, a procedure to remove a portion of the lip for medical reasons.

Accelerate your revenue cycle

Boost patient experience and your bottom line by automating patient cost estimates, payer underpayment detection, and contract optimization in one place.

Get a Demo

What is CPT Code 40520

CPT code 40520 is a procedure involving the surgical removal of a portion of the lip tissue, typically performed to address lesions, tumors, or other abnormalities affecting the lip structure.

Does CPT 40520 Need a Modifier?

Modifiers that could be used with this CPT code:

1. -50: Bilateral procedure

2. -51: Multiple procedures

3. -52: Reduced services

4. -53: Discontinued procedure

5. -58: Staged or related procedure or service by the same physician during the postoperative period

6. -59: Distinct procedural service

7. -76: Repeat procedure or service by same physician

8. -77: Repeat procedure by another physician

9. -78: Unplanned return to the operating/procedure room by the same physician following initial procedure for a related procedure during the postoperative period

10. -79: Unrelated procedure or service by the same physician during the postoperative period

11. -RT: Right side

12. -LT: Left side

CPT Code 40520 Medicare Reimbursement

CPT code 40520 is reimbursed by Medicare. The reimbursement rate for this code is determined by the Medicare Physician Fee Schedule (MPFS). Healthcare providers should consult their local Medicare Administrative Contractor (MAC) for specific coverage guidelines and payment rates, as these may vary by region.

Are You Being Underpaid for 40520 CPT Code?

Discover the power of MD Clarity's RevFind software to ensure you're getting paid what you deserve. With RevFind, you can read your contracts and detect underpayments down to the CPT code level, including specific codes like 40520. Don't leave money on the table—schedule a demo today to see how RevFind can help you identify and recover underpayments from individual payers.

Get paid in full by bringing clarity to your revenue cycle

Full Page Background