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.
Boost patient experience and your bottom line by automating patient cost estimates, payer underpayment detection, and contract optimization in one place.
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
Related CPT Codes
CPT Code 21344
CPT code 21344 is for the open treatment of a complex fracture of the frontal sinus.
CPT Code 21346
CPT code 21346 is for the open treatment of a nasomaxillary fracture with fixation.
CPT Code 21400
CPT code 21400 is for a closed treatment of an orbital fracture without manipulation.
CPT Code 21558
CPT code 21558 is for the surgical resection of a neck tumor measuring 5 cm or larger.
CPT Code 21685
CPT code 21685 is for the surgical procedure involving hyoid myotomy and suspension.
CPT Code 21743
CPT code 21743 is for the repair of the sternum using the Nuss procedure with a scope.
CPT Code 21800
CPT code 21800 is a medical code used to describe the treatment of a rib fracture.
CPT Code 21805
CPT code 21805 is a medical code used to describe the treatment of a rib fracture.
CPT Code 21813
CPT code 21813 is a medical code used to describe the treatment of a rib fracture.
CPT Code 21825
CPT code 21825 is a medical code used to describe the treatment of a sternum fracture.
Subscribe to the
Healthcare Clarified newsletter
Get the latest insights on RCM and healthcare policy in your inbox
