40654 repair lip fth>1half ver ht/cpx
Also known as: complex lip repair, full-thickness lip repair
Repair of laceration or defect of the lip involving more than half the vertical height of the vermilion border and/or full-thickness repair. Complex lip repair.
In Plain Language
repairing most or all of the lip
Clinical Context
Used for extensive lip lacerations with full-thickness involvement. Requires precise alignment of vermilion border for functional and cosmetic outcomes.
RVU Breakdown
| Work RVU | 5.34 |
| Total RVU | 5.34 |
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 5.34, this code ranks in the 36th percentile among Surgery codes — 1.5x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 40654?
CPT 40654 (repair lip fth>1half ver ht/cpx) is a Surgery code. Repair of laceration or defect of the lip involving more than half the vertical height of the vermilion border and/or full-thickness repair. Complex lip repair.
What is the wRVU value for CPT 40654?
The work RVU for CPT 40654 is 5.34. This code is primarily used by Plastic Surgery, Oral Surgery, General Surgery. It has a 90-day global period.
When is CPT 40654 used?
Used for extensive lip lacerations with full-thickness involvement. Requires precise alignment of vermilion border for functional and cosmetic outcomes.
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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.