2025 CPT code 40761
(Active) Effective Date: N/A Surgery; Surgical Procedures on the Digestive System - Repair Procedures on the Lips Surgery Feed
Repair of cleft lip/nasal deformity using a cross lip pedicle flap (Abbe-Estlander type).
Modifiers may be applicable to indicate specific circumstances of the procedure, such as increased procedural services (22), multiple procedures (51), reduced services (52), etc.
Medical necessity is established by the presence of a cleft lip and nasal deformity requiring surgical repair for functional and/or aesthetic reasons.
The surgeon plans and performs the procedure, including prepping the patient, creating the flap, transferring it, and closing the surgical site in layers.
In simple words: This surgery fixes a cleft lip and nose problem using a piece of tissue from the bottom lip.The tissue is moved to the top lip to close the gap and reshape the nose, improving both appearance and function.
Plastic repair of cleft lip/nasal deformity; with cross lip pedicle flap (Abbe-Estlander type), including sectioning and inserting of pedicle. This procedure involves creating a flap of tissue from the lower lip and transferring it to the upper lip to repair the cleft and any associated nasal deformity. The pedicle, which contains blood vessels, remains attached to the lower lip to nourish the flap until it heals into its new position.
Example 1: A newborn with a complete unilateral cleft lip and nasal deformity undergoes this procedure to close the lip and improve the shape of the nose., A teenager with a residual cleft lip nasal deformity from a previous repair has this surgery to further refine the appearance and function of the lip and nose., An adult who sustained a lip and nasal injury in a traumatic accident requires this procedure for reconstruction.
Documentation should include details of the cleft lip and nasal deformity, operative report, type of flap used, and any associated procedures.
- Revenue Code: P1G - MAJOR PROCEDURE - OTHER
- Specialties:Plastic Surgery, Oral & Maxillofacial Surgery, ENT - Otolaryngology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center