CPT Code 40527

CPT code 40527 is a medical billing code used for reconstructing the lip using a flap technique in surgical procedures.

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What is CPT Code 40527

CPT code 40527 is a procedure for reconstructing the lip using a flap technique. This involves transferring tissue from an adjacent area to repair or rebuild a portion of the lip, typically performed to address defects caused by injury, congenital abnormalities, or surgical removal of lesions.

Does CPT 40527 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 40527 Medicare Reimbursement

CPT code 40527 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 procedure.

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CPT Code 40527

What is CPT Code 40527

Does CPT 40527 Need a Modifier?

CPT Code 40527 Medicare Reimbursement

Are You Being Underpaid for 40527 CPT Code?

Get paid in full by bringing clarity to your revenue cycle

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