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.
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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.
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