40812 Excise/repair mouth lesion
Also known as: oral lesion excision with repair, lesion excision and closure
Excision and repair of mouth lesion. Complete removal of oral lesion with primary closure.
In Plain Language
removing and stitching a mouth lesion
Clinical Context
Used for lesions creating defects requiring closure to promote healing and maintain oral function.
RVU Breakdown
| Work RVU | 2.31 |
| Total RVU | 2.31 |
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 10-day global period — follow-up visits within 10 days of the procedure are included in the reimbursement. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 2.31, this code ranks in the 16th percentile among Surgery codes — 3.5x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 40812?
CPT 40812 (Excise/repair mouth lesion) is a Surgery code. Excision and repair of mouth lesion. Complete removal of oral lesion with primary closure.
What is the wRVU value for CPT 40812?
The work RVU for CPT 40812 is 2.31. This code is primarily used by Oral Surgery, General Surgery, ENT. It has a 10-day global period.
When is CPT 40812 used?
Used for lesions creating defects requiring closure to promote healing and maintain oral 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.