Coding Brief: Reporting Code 40650 in the Emergency Department (November 2016)

November 2016 page 7 Coding Brief: Reporting Code 40650 in the Emergency Department Current Procedural Terminology (CPT®) code 40650, Repair lip, full thickness; vermillion only, has a 90-day global period assigned by the Centers for Medicare and Medicaid Services (CMS). Although this procedure is often performed in the emergency department (ED) by emergency physicians, it is not typical for the ED physician to provide the full 90-day global follow-up patient care, which typically includes three office visits. If ED physicians or other providers in the ED setting are not planning to provide the follow-up care, which is included...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains a CPT coding scenario involving lip repair services in the emergency department and discusses how related follow-up care, separately identifiable E/M services, and alternative repair codes are addressed in the article. It is relevant to emergency physicians, plastic surgeons, coders, and billing staff who need to understand the general reporting considerations tied to this type of procedure and its global period.

Why This Topic Matters

The brief helps readers recognize when a lip repair case may involve additional reporting considerations beyond the procedure itself, especially in ED settings where different clinicians may be responsible for the procedure and follow-up care.

What You Will Learn

  • How the article frames reporting considerations for a lip repair procedure in the emergency department
  • What general topics are covered regarding follow-up care during the global period
  • How separately identifiable E/M services are discussed in relation to the procedure
  • What alternative repair categories are referenced when the injury characteristics differ

Who Should Read This

  • Emergency physicians
  • Plastic surgeons
  • Medical coders
  • Billing staff
  • Compliance staff

Codes Discussed

Modifiers Discussed


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