How To Use CPT Code 40830

CPT 40830 describes the closure of a laceration in the vestibule of the mouth, measuring 2.5 cm or less. This article will cover the official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 40830?

CPT 40830 is used to describe the closure of a laceration in the vestibule of the mouth that measures 2.5 cm or less. This procedure involves repairing a cut or tear in the vestibule using sutures, staples, or adhesive material. The goal of the closure is to achieve hemostasis and assist in the healing process to restore normal function.

2. Official Description

The official description of CPT code 40830 is: ‘Closure of laceration, vestibule of mouth; 2.5 cm or less.’

3. Procedure

1. The provider preps and anesthetizes the patient appropriately.
2. A simple closure is performed using tapes, adhesives, or staples over the laceration in the vestibule, covering up to 2.5 cm.
3. The closure aims to achieve hemostasis and promote healing for the restoration of normal function.

4. Qualifying circumstances

CPT 40830 is used when there is a laceration in the vestibule of the mouth that measures 2.5 cm or less. The procedure is performed by a qualified healthcare provider and is necessary to achieve hemostasis and assist in the healing process.

5. When to use CPT code 40830

CPT code 40830 should be used when a laceration in the vestibule of the mouth measures 2.5 cm or less and requires closure. It is important to note that if the laceration is more complex or exceeds 2.5 cm, a different CPT code, such as 40831, should be used.

6. Documentation requirements

To support a claim for CPT 40830, the healthcare provider must document the following information:

• Patient’s diagnosis and the need for closure of the laceration
• Details of the closure procedure performed, including the use of sutures, staples, or adhesive material
• Measurement of the laceration in the vestibule of the mouth
• Date and time of the procedure
• Any complications or additional procedures performed
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 40830, ensure that the closure of the laceration in the vestibule of the mouth measures 2.5 cm or less. It is important to follow the specific guidelines provided by the payer and use the appropriate modifiers if necessary. If the laceration is more complex or exceeds 2.5 cm, report a different CPT code, such as 40831. It is also important to consider any bundling or unbundling rules that may apply.

8. Historical information

CPT 40830 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition.

9. Examples

1. A dentist performs a closure of a 2 cm laceration in the vestibule of the mouth.
2. A maxillofacial surgeon repairs a 1.5 cm laceration in the vestibule of the mouth using sutures.
3. An oral surgeon uses adhesive material to close a 2.5 cm laceration in the vestibule of the mouth.
4. A dental hygienist assists in the closure of a 2 cm laceration in the vestibule of the mouth using staples.
5. A pediatric dentist performs a closure of a 1 cm laceration in the vestibule of the mouth using adhesive material.
6. An oral and maxillofacial surgeon repairs a 2.5 cm laceration in the vestibule of the mouth using sutures.
7. A general dentist uses staples to close a 1.5 cm laceration in the vestibule of the mouth.
8. An oral surgeon performs a closure of a 2 cm laceration in the vestibule of the mouth using adhesive material.
9. A maxillofacial surgeon repairs a 1 cm laceration in the vestibule of the mouth using sutures.
10. A dental hygienist assists in the closure of a 2.5 cm laceration in the vestibule of the mouth using staples.