40806
Incision of lip fold
Code typePrimary
Payment statusActive (A)
Global period0-day
Whole-Procedure Pricing
Line
Qty
Global fee
Pro fee
Primary40806Incision of lip fold
1
$101.20
$28.72
RVU Breakdown
Component
Office
Facility
Work
0.30
0.30
Practice expense
2.67
0.50
Malpractice
0.06
0.06
Total RVU
3.03
0.86
Payment Policy & Modifiers
Allowed adjustments
Multiple procedure MPPRApplies
When billed with other procedures the same day: highest-valued paid 100%, the rest 50%.
Assistant surgeon -80/81/8216% · documented
Assistant at surgery (mod 80/81/82) paid at 16% if medical necessity is documented.
Not applicable to this code
Bilateral -50Co-surgeon -62Team surgeon -66Prof / tech split