Wiki complex laceration of lip through vermillon border

[Networker3412]

Need help coding this:

The laceration was found to be approximately 2 cm on the right upper
lip including through and through the vermillion border into the lip proper.
The laceration was closed in layers with deep layer of interrupted 6-0 Vicryl suture and then the superficial layer of the lip was closed with 5-0 chromic. The laceration to the face just superior to the lip was closed with
interrupted 6-0 nylon. The patient tolerated the procedure well.

Is this 40650 or 40654 and do i need to know the size of the face laceration? On the consultation report it states :
Patient with acomplex, approximately 2 cm, laceration just above her mouth on the right side, extending through the vermilion border into the upper lip. A portion of this was through and through.

 

[OCD_coder]

The correct code would be 40652 for the 2cm. You don't know how long the facial laceration is and can't code that separately. Double check your CCI edits and I would be willing to venture that any facial laceration repair is bundled into the 40652.