2025 CPT code 40520
Effective Date: N/A Surgery - Surgical Procedures on the Digestive System Feed
Excision of lip; V-excision with primary direct linear closure.
Modifiers 22, 47, 51, 52, 53, 54, 55, 56, 58, 59, 73, 74, 76, 77, 78, 79, 99, AQ, AR, CR, ET, GA, GC, GJ, GR, KX, PD, Q5, Q6, QJ, XE, XP, XS, and XU may be applicable.
Medical necessity must be established for this procedure. The documentation should clearly explain the reason for the excision, such as removal of a benign or malignant lesion, repair of a traumatic laceration, or correction of a congenital defect. The medical record should support the need for surgical intervention rather than alternative treatments.
In simple words: The doctor removes a V-shaped piece of tissue from your lip to get rid of a lesion or defect.They then sew the edges together in a straight line.
The provider performs a V-shaped excision on the lip and closes the incision with a primary direct linear closure. This procedure is typically done to remove a lesion or defect.After prepping and anesthetizing the patient, the provider excises a V-shaped wedge of tissue around the affected area on the lip. The wound edges are then sutured together in a straight line to achieve a direct linear closure.
Example 1: A patient presents with a benign lesion on their upper lip. The provider performs a V-excision of the lesion and closes the defect with a direct linear closure using 40520., A patient has a small basal cell carcinoma on their lower lip. A V-excision is performed to remove the cancerous tissue, and the incision is closed with a direct linear closure, billed as 40520., Following a traumatic injury, a patient has a jagged laceration on their lip. The provider trims the irregular edges of the wound into a "V" shape and repairs it with a direct linear closure using code 40520.
Documentation should include the location and size of the lesion or defect, the method of excision (V-excision), the type of closure (direct linear closure), and any complications encountered. Photographs may also be beneficial.
- Specialties:Plastic Surgery, Dermatology, Oral and Maxillofacial Surgery
- Place of Service:Office, Ambulatory Surgical Center, Outpatient Hospital, Inpatient Hospital