CPT code 40652 defines the surgical repair of a full–thickness lip tear up to half the vertical height, using sutures. This code captures a common, focused soft-tissue procedure performed for traumatic or surgically created lip wounds that involve the mucosa, muscle, and skin across the full thickness of the lip. Nationally, accurate use of this CPT code matters for consistent clinical documentation, correct procedure assignment, and appropriate billing across emergency departments, outpatient clinics, and ambulatory surgical centers.

Key payers addressed in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The publication outlines coding benchmarks, typical sites of service, clinical context for appropriate application, and common modifiers and coding considerations. Readers will find guidance on distinguishing this specific full–thickness closure from other lip repair codes based on tear depth and vertical height, an overview of expected clinical settings, and a summary of documentation elements that support code selection.

This summary is intended for national audiences including clinicians, coding professionals, and revenue cycle staff seeking a concise reference to CPT code 40652 and its clinical and billing context. Data not available in the input is noted where applicable in detailed sections.