40816 Excision of mouth lesion
Also known as: oral lesion excision, intraoral excision
Excision of mouth lesion, likely with intermediate complexity reconstruction between 40814 and simpler excisions.
In Plain Language
removing a growth in the mouth
Clinical Context
Used for moderate-sized intraoral lesions. May involve standard closure techniques beyond simple primary closure.
RVU Breakdown
| Work RVU | 3.68 |
| Total RVU | 3.68 |
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 3.68, this code ranks in the 25th percentile among Surgery codes — 2.2x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 40816?
CPT 40816 (Excision of mouth lesion) is a Surgery code. Excision of mouth lesion, likely with intermediate complexity reconstruction between 40814 and simpler excisions.
What is the wRVU value for CPT 40816?
The work RVU for CPT 40816 is 3.68. This code is primarily used by Oral Surgery, General Surgery, ENT. It has a 90-day global period.
When is CPT 40816 used?
Used for moderate-sized intraoral lesions. May involve standard closure techniques beyond simple primary closure.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.
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.