CPT CODES

CPT Code 40525

CPT code 40525 is a medical billing code used for reconstructing the lip using a flap technique in surgical procedures.

Table of Contents
What is CPT Code 40525
Does CPT 40525 Need a Modifier?
CPT Code 40525 Medicare Reimbursement
Are You Being Underpaid for 40525 CPT Code?
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What is CPT Code 40525

CPT code 40525 is a procedure for reconstructing the lip using a flap technique, which involves transferring tissue from one area to repair and reshape the lip.

Does CPT 40525 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. -58: Staged or related procedure or service by the same physician during the postoperative period

5. -59: Distinct procedural service

6. -76: Repeat procedure or service by same physician

7. -77: Repeat procedure or service by another physician

8. -78: Unplanned return to the operating/procedure room by the same physician following initial procedure for a related procedure during the postoperative period

9. -79: Unrelated procedure or service by the same physician during the postoperative period

10. -RT: Right side

11. -LT: Left side

CPT Code 40525 Medicare Reimbursement

CPT code 40525 is reimbursed by Medicare. This code is listed on the Medicare Physician Fee Schedule (MPFS), indicating that it is a covered service. However, coverage and reimbursement may vary depending on the specific Medicare Administrative Contractor (MAC) in your region. It's essential to verify with your local MAC for any specific coverage guidelines or documentation requirements associated with this code.

Are You Being Underpaid for 40525 CPT Code?

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