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40520 Partial excision of lip

Surgery Global 90d

Also known as: lip wedge excision, lip lesion excision

Partial excision of the lip for removal of lesion with primary closure. A variation of partial lip excision procedures.

In Plain Language

removing a piece of the lip

Clinical Context

Used for smaller lesions or cosmetically sensitive areas where tissue conservation is important. Maintains lip structure and function.

RVU Breakdown

Work RVU4.67
Total RVU4.67

Est. Medicare Payment

$155.98

National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).

Billing & Documentation

As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.

How This Code Compares

With a work RVU of 4.67, this code ranks in the 32nd percentile among Surgery codes — 1.7x below the median (8.00). The highest wRVU in this category is 106.19.

Specialties

Oral SurgeryGeneral SurgeryPlastic Surgery

Frequently Asked Questions

What is CPT code 40520?

CPT 40520 (Partial excision of lip) is a Surgery code. Partial excision of the lip for removal of lesion with primary closure. A variation of partial lip excision procedures.

What is the wRVU value for CPT 40520?

The work RVU for CPT 40520 is 4.67. This code is primarily used by Oral Surgery, General Surgery, Plastic Surgery. It has a 90-day global period.

When is CPT 40520 used?

Used for smaller lesions or cosmetically sensitive areas where tissue conservation is important. Maintains lip structure and function.

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.