40819 Excise lip or cheek fold
Also known as: lip fold excision, buccal fold excision
Excision of lip or cheek fold. Removal of redundant tissue creating folds or restricting function.
In Plain Language
removing extra tissue from lip or cheek
Clinical Context
Used for redundant tissue causing functional impairment (denture retention, eating) or cosmetic concerns.
RVU Breakdown
| Work RVU | 2.45 |
| Total RVU | 2.45 |
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 2.45, this code ranks in the 17th percentile among Surgery codes — 3.3x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 40819?
CPT 40819 (Excise lip or cheek fold) is a Surgery code. Excision of lip or cheek fold. Removal of redundant tissue creating folds or restricting function.
What is the wRVU value for CPT 40819?
The work RVU for CPT 40819 is 2.45. This code is primarily used by Oral Surgery, Plastic Surgery. It has a 90-day global period.
When is CPT 40819 used?
Used for redundant tissue causing functional impairment (denture retention, eating) or cosmetic concerns.
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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.