CPT^® 40530, Under Excision Procedures on the Lips

The Current Procedural Terminology (CPT^®) code 40530 as maintained by American Medical Association, is a medical procedural code under the range - Excision Procedures on the Lips.

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Summary

The provider excises more than one fourth of the patient’s lip. This procedure does not include reconstruction of the lip. A provider may perform this procedure to remove a tumor.

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Help with correct coding for lip cyst excision

To me, it seems as if this was 40530. The note states resection, and I would certainly guess the measurement would qualify for the average person's lip measurement. (coding states more than one-fourth... [ Read More ]

40530 CCI edits 40530 cci

My physician billed for 40530 and 13152 and when I ran it thru our scrubber it kicked out for CCI as bundled. So I look up 40530 (Resection of lip WITHOUT RECONSTRUCTION) and under the excludes it st... [ Read More ]

resection lip, palate, mandible, maxillary

Good morning Forum, I need assistance with the following surgery note. I have a question regarding the resections. Can I bill the resection of the lip 40530, resection palate 42120-52, maxillary 2103... [ Read More ]

Resection lip, mandible, buccal mucosa, maxillary alveolar ridge and palate

excision of basal cell carcinoma of the lip

Lay description for CPT 40530; The physician incises the lip, resects the damaged area and surrounding tissues. He closes the the area and repairs the surrounding structures in layers through sutures.... [ Read More ]

Michelle Dunn Posts (00096920)

[b]excision of basal cell carcinoma of the lip[/b] the doc is calling the procedure a "wide" excision of lip carcinoma with a rhomboid flap closure. the op note says: the lesion is excised down to t... [ Read More ]

Lip repair CPT 40527 and 40530???

I have a plastic surgeon that coded both 40530 & 40527. CPT 40530 was denied as bundled, but not bundled in NCCI. Can both codes be billed if 40530 was on upper lip and 40527 on lower lip? would Modif... [ Read More ]

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