2025 CPT code 40830

Simple closure of a laceration of the vestibule of the mouth, 2.5 cm or less.

Use this code for simple closures of lacerations 2.5 cm or less in length. For larger or more complex lacerations, use 40831.

Modifiers may be applicable in certain situations, such as for increased procedural services (modifier 22) or if the procedure is discontinued (modifier 53).

Medical necessity for this procedure is established by the presence of a laceration requiring closure to control bleeding, prevent infection, and promote proper healing.

The physician is responsible for preparing the wound, administering local anesthesia, and performing the closure using appropriate techniques to achieve hemostasis and promote healing.

IMPORTANT For lacerations over 2.5 cm or complex repairs, use 40831.For repairs of lacerations to the tongue or floor of the mouth, see codes 41110-41115.

In simple words: Repairing a small cut or tear (up to 2.5 cm long) inside the mouth between the cheek/lip and the teeth/gums, using stitches, staples, or medical glue.

This code describes a simple closure of a laceration in the vestibule of the mouth (the area between the cheeks/lips and the teeth/gums) that is 2.5 cm or less in length.The closure may be performed using sutures, staples, or adhesive materials. This procedure typically includes local anesthesia and wound preparation.

Example 1: A patient presents with a 1.5 cm laceration to the buccal vestibule following accidental biting of the cheek. The physician cleans the wound and closes it with absorbable sutures., A child falls and sustains a 2 cm laceration to the labial vestibule. The physician uses tissue adhesive to close the wound., An adult with a denture sustains a 2.4 cm laceration to the lower buccal vestibule from a fractured section. After removing the denture fragment, the physician irrigates the wound and closes it with staples.

Documentation should include the location and length of the laceration, the method of closure (sutures, staples, adhesive), and any associated complications.If the laceration involves other structures or requires complex repair, this should also be documented.

  • Payment Status: Active
  • Specialties:Oral Surgery, Maxillofacial Surgery, Dentistry, Emergency Medicine
  • Place of Service:Office, Hospital Outpatient Department, Emergency Room - Hospital, Ambulatory Surgical Center
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