Medical Coding

Category - 40,000 Series

A 7-year-old boy fell from a treehouse, cutting open his upper lip across the upper vermilion border. Due to the vermilion border being involved, repair of the lip was performed by plastic surgery. What CPT code should be used for repair of the lip over the vermilion border?
  1. 40650
  2. 40652
  3. 40654
  4. 40700
Explanation
Answer: A - 40650 is the only code specific to the vermilion border repair of the lip.
Code 40652 is incorrect because it is for a lip repair, up to half of the vertical height. Code 40654 is incorrect because the repair did not involve more than one half of the vertical height and was not listed as complex. Code 40700 is incorrect because there was no mention of cleft lip repair.
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