Vermilionectomy: CPT® Coding in Brief

Vermilionectomy: CPT® Coding in Brief

Vermilionectomy (40500 Vermilionectomy (lip shave), with mucosal advancement) is the shaving or excision of the vermilion border of the lip. This code also includes the repair of the excisional area by mucosal advancement. If more tissue is excised or removed from the lip area, choose from code range 40510-40530. Choose wedge resections or full-thickness excisional codes based on the tissue excised and the reconstruction performed to correct the defect. These reconstructions are built into the code; do not report them separately with any other repair codes. When reporting 40510-40527, do not additionally report codes from the Integumentary System section.

John Verhovshek
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John Verhovshek, MA, CPC, is a contributing editor at AAPC. He has been covering medical coding and billing, healthcare policy, and the business of medicine since 1999. He is an alumnus of York College of Pennsylvania and Clemson University.

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