CPT^® 40806, Under Incision Procedures on the Vestibule of Mouth

The Current Procedural Terminology (CPT^®) code 40806 as maintained by American Medical Association, is a medical procedural code under the range - Incision Procedures on the Vestibule of Mouth.

Additional/Related Information

Tabs

Summary

The provider incises the labial frenum, the tag of tissue in the center of the upper or the lower lip that attaches the lip to the gums of the patient. The provider does not remove the frenum. The provider commonly performs this procedure to release a tight frenum and its surrounding tissues.

For clinical responsibility, terminology, tips and additional info
start codify free trial.

View any code changes for 2024 as well as historical information on code creation and revision.

Crosswalks

Tabs

Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT® code.

View the CPT® code's corresponding procedural code and DRG. In a click, check the DRG's IPPS allowable, length of stay, and more. To plug inpatient facility revenue drains, subscribe to DRG Coder today.

Crosswalk to an anesthesia code and its base units, and calculate payments in a snap! Subscribe to Anesthesia Coder today.

View matching HCPCS Level II codes and their definitions.

Forum

Have a question about CPT Code 40806 ? Start a discussion here

Cerumen diagnosis code

40806: Incision of labial frenum (frenotomy): The physician makes an incision in the labial frenum, freeing the lip and allower greater range of motion. The labial frenum is the membrane that attache... [ Read More ]

Cerumen diagnosis code

[QUOTE="mitchellde, post: 468185, member: 30657"] You do not code normal, and you do not assign a code for a condition the documentation does not support. If the cerumen is not impacted then use the ... [ Read More ]

Cerumen diagnosis code

You do not code normal, and you do not assign a code for a condition the documentation does not support. If the cerumen is not impacted then use the symptoms the patient presented. as far as the 40... [ Read More ]

Cerumen diagnosis code

My extender wants to submit H61.23 when it isn't impacted as the only dx code. What can I give her in place of it? Thank you for all your help. Also what is your suggestion for code 40806? In Flor... [ Read More ]

cpt code 40806 "incision of labial frenum"

Thank you .......do you know of a comparable code to 40806?... [ Read More ]

cpt code 40806 "incision of labial frenum"

40806 is an 'office procedure' so it should be payable in an office but maybe it's not on the Florida Medicaid list of allowable cpt codes? If you can't separately charge for the procedure, you would... [ Read More ]

cpt code 40806 "incision of labial frenum"

I work for a Pediatric ENT group in Florida and am in need of assistance with cpt code 40806. Florida Medicaid is stating that it is a non-payable procedure. In the office we perform an upper lip f... [ Read More ]

Incision of Labial Frenum (40806)

Amber, CPT Code 40806 has an (MUE) Medically Unlikely Edit of 2. Yes you may report it with a -59 and submit it twice.... [ Read More ]

Incision of Labial Frenum (40806)

Coding for an ASC clinic and physician documents Incison of Labial Frenum for both upper and lower lip. Can I bill for 40806 and 40806-59 or can this code only be used once? :confused: Thanks for th... [ Read More ]

Release of upper labial frenulum

Your are correct, cpt 40806 is for labial frenulum; also, you can use 744.9, unspecified congenital anomaly of face/neck. Jennifer CT ENT... [ Read More ]

View All