40525 Reconstruct lip with flap
Also known as: lip flap reconstruction, lip reconstruction
Reconstruction of the lip using a local flap. Restores lip contour and function after excision using adjacent tissue rotation or transposition.
In Plain Language
rebuilding the lip using nearby tissue
Clinical Context
Used when excision requires reconstruction to maintain oral commissure alignment and lip function. Local flaps preserve sensation and mobility.
RVU Breakdown
| Work RVU | 7.53 |
| Total RVU | 7.53 |
Est. Medicare Payment
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 7.53, this code ranks in the 48th percentile among Surgery codes — 1.1x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 40525?
CPT 40525 (Reconstruct lip with flap) is a Surgery code. Reconstruction of the lip using a local flap. Restores lip contour and function after excision using adjacent tissue rotation or transposition.
What is the wRVU value for CPT 40525?
The work RVU for CPT 40525 is 7.53. This code is primarily used by Plastic Surgery, Oral Surgery, General Surgery. It has a 90-day global period.
When is CPT 40525 used?
Used when excision requires reconstruction to maintain oral commissure alignment and lip function. Local flaps preserve sensation and mobility.
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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.