40806 Incision of lip fold
Also known as: lip fold incision, frenotomy
Simple incision of lip fold or buccal mucosa. Minimal surgical procedure to release tissue tension or access lesions.
In Plain Language
cutting a fold in the lip
Clinical Context
Used for labial frenum incision (frenotomy) to improve denture fit or access, or for simple buccal fold release. Minimal healing time.
RVU Breakdown
| Work RVU | 0.30 |
| Total RVU | 0.30 |
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 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 0.30, this code ranks in the 0th percentile among Surgery codes — 26.7x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 40806?
CPT 40806 (Incision of lip fold) is a Surgery code. Simple incision of lip fold or buccal mucosa. Minimal surgical procedure to release tissue tension or access lesions.
What is the wRVU value for CPT 40806?
The work RVU for CPT 40806 is 0.30. This code is primarily used by Oral Surgery, General Surgery.
When is CPT 40806 used?
Used for labial frenum incision (frenotomy) to improve denture fit or access, or for simple buccal fold release. Minimal healing time.
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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.