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2025 CPT code 40650

Repair of a full-thickness laceration of the lip, limited to the vermilion.

Use 40652 if the repair extends beyond the vermilion border.

Modifiers may be applicable to indicate specific circumstances of the procedure. Commonly used modifiers are 22 (Increased Procedural Services), 51 (Multiple Procedures), and others as appropriate.

Repair is necessary to restore function and prevent infection or complications.

The physician prepares the patient, administers anesthesia, closes the lip laceration with sutures, and applies a dressing if needed.

In simple words: Suturing a deep cut in the red part of the lip.

This code describes the repair of a full-thickness tear of the vermilion portion of the lip using sutures. The vermilion is the reddish portion of the lip. A full-thickness tear means that the cut goes through all layers of the lip's skin in this area. This code does not include repairs extending beyond the vermilion border.

Example 1: A patient presents with a 1 cm laceration through all layers of the vermilion border of the upper lip caused by a fall. The physician repairs the laceration with sutures., A child bites through their lower lip while playing, resulting in a full-thickness tear within the vermilion. The physician cleans and sutures the wound., A patient sustains a deep cut to the red part of their lip in a fight. The cut is limited to the vermilion and requires sutures for closure.

Documentation should include the location and size of the laceration, depth of the injury (full-thickness), and the repair technique used.

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