2025 CPT code 40652
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Surgery - Repair Procedures on the Lips Surgery Feed
Repair of a full-thickness lip laceration up to half the lip's vertical height.
Modifiers may be applicable depending on circumstances such as multiple procedures (51), reduced services (52), or anesthesia provided by the surgeon (47). Consult current modifier guidelines.
Medical necessity is established by the presence of a full-thickness laceration of the lip requiring surgical repair.The size and depth of the wound must justify the use of code 40652 rather than a less extensive procedure.
The physician's role involves preparing the patient (including appropriate anesthesia), precisely suturing the full-thickness lip laceration, and applying a dressing after the repair.The surgeon is responsible for the entire procedure from prepping to closure.
In simple words: This code describes the stitching up of a deep cut or tear on the lip that goes through all layers of the lip and is less than half the lip's height.This is often done for injuries or after surgery.
This CPT code, 40652, encompasses the surgical repair of a full-thickness laceration or a surgically created wound on the lip.The laceration must extend through all layers of the lip, including the vermilion border, and its size is limited to a maximum of half the vertical height of the lip. The repair involves the use of sutures to close the wound, followed by dressing application.This procedure is frequently performed for wounds resulting from trauma or surgical incisions.
Example 1: A patient presents to the emergency room after a bicycle accident with a deep laceration on their lower lip, extending through the full thickness of the lip but less than half its vertical height.Code 40652 is used., During a surgical procedure to remove a lesion on a patient's upper lip, the surgeon creates a full-thickness incision up to half the vertical height of the lip to achieve adequate excision of the lesion. Code 40652 is used., A patient sustains a full-thickness laceration to the vermilion border of their lower lip during a fight, the tear extending to less than half the vertical height. Code 40652 applies.
* Thoroughly documented history of the lip injury or surgical indication.* Detailed description of the wound including its location, depth (full-thickness), size (less than half the vertical height of the lip), and involvement of the vermilion border.* Documentation of anesthesia used.* Description of the surgical technique used to repair the wound.* Indication of any complications.* Photographs of the wound (before and after repair) are helpful.
** This code is specific to lip repairs; other codes exist for repairs in different areas of the face.Always verify the precise anatomical location and dimensions of the wound to select the most appropriate code.
- Revenue Code: P6C (MINOR PROCEDURES - OTHER)
- RVU: Information not available in source.RVUs vary by location and payer.
- Global Days: Information not provided in the source.
- Payment Status: Active
- Modifier TC rule: Information not available in source.
- Fee Schedule: Information not available in the source.Historical fee schedules vary by payer and location.
- Specialties:Plastic Surgery, Oral and Maxillofacial Surgery, General Surgery
- Place of Service:Office, Hospital (Inpatient and Outpatient), Ambulatory Surgical Center, Emergency Room