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Thank you for sharing your recommendations for treating lip fibroids. Although eczema on lips can be a serious condition, it is important that any medical procedures, including fibroid removal, are performed by qualified professionals. It is essential that people consult with their healthcare providers to determine the best course of action for their particular situation. Additionally, researching reputable sources such as uvtreat.com can provide valuable information and support for a variety of dermatological concerns.
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Hi Jenny!
Hm that is interesting, i do show that 40810-40816 are currently active/valid CPT codes....
40812 stands for: Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair
4110-41114 are as follows:
41110 - Excision of lesion of tongue without closure
41112 - Excision of lesion of tongue with closure; anterior two-thirds
41113 - Excision of lesion of tongue with closure; posterior one-third
41114 - Excision of lesion of tongue with closure; with local tongue flap
For biopsy of the lip or excision of lesion of the lip, you may consider:
40490 - Biopsy of lip
11440 - Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.5 cm or less
11441 - Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.6 to 1.0 cm
11442 - Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 1.1 to 2.0 cm
11443 - Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 2.1 to 3.0 cm
11444 - Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 3.1 to 4.0 cm
11446 - Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter over 4.0 cm
Hope this helps!
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I submitted a medical claim for this exact situation, however the insurance told me that these codes 40810-40816 are no longer used and I should use 41110-41114. I'm confused as they are different procedures and descriptions. We in fact did a 40812 but insurance will not pay this. Is there a more appropriate code for excisional biopsy of lesion on lower right lip (Irritation Fibroma, Lipoma)?
Thank you for your insight!
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Hi davidkerr!
No problem, here are some CPT coding options based on what you described below:
11441 - excision benign lesion 0.6 to 1.0 cm
40810 - Excision of lesion of mucosa and submucosa, vestibule of mouth without repair
40812 - Excision of lesion of mucosa and submucosa, vestibule of mouth with simple repair
And here are some ICD-10 diagnosis coding options for you:
D37.01 - Neoplasm of uncertain behavior of lip
D10.0 - Benign neoplasm of lip
D23.0 - Other benign neoplasm of skin of lip
C00.0 - Malignant neoplasm of external upper lip
C00.1 - Malignant neoplasm of external lower lip
C00.2 - Malignant neoplasm of external lip, unspecified
C00.3 - Malignant neoplasm of upper lip, inner aspect
C00.4 - Malignant neoplasm of lower lip, inner aspect
C00.5 - Malignant neoplasm of lip, unspecified, inner aspect
C00.6 - Malignant neoplasm of commissure of lip, unspecified
C00.8 - Malignant neoplasm of overlapping sites of lip
C00.9 - Malignant neoplasm of lip, unspecified
Hope this helps, have a great day!
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Removed a 8mm fibroma on the corner of a patient's lips, was denied coverage by dental insurance. Would love input on codes including diagnosis and procedural. We are a general dental office and the removal was done via diode laser.
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