Find policies, billing codes, payers, states, and providers
CPT 40702: Bilateral Cleft Lip and Nasal Deformity Repair, Staged Operation
CPT code 40702 designates the surgical repair of a bilateral cleft lip defect or related nasal deformity performed as one stage of a planned two-stage reconstruction. This code matters nationally because cleft lip repair is a common pediatric and craniofacial procedure with implications for surgical planning, payer coverage policies, and reimbursement pathways across commercial and public payers. Understanding use of 40702 helps clinicians and billing professionals align documentation and coding with staged surgical care.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise clinical context for the code, typical sites of service, and which payers are commonly involved in coverage decisions. The publication summarizes benchmarks and coding considerations relevant to staged bilateral cleft lip and nasal repairs, highlights common modifiers used in practice (input provided), and notes where input data is incomplete.
The report provides guidance on what to look for in payer policies affecting staged reconstructive procedures, how 40702 fits into multi-stage treatment plans, and operational implications for surgical scheduling and billing workflows. Data not available in the input is explicitly identified where relevant.
Customize your policy alerts
Sign up for cpt 40702 policy alerts
Get alerted when payer policies referencing 40702 are released or updated.
Monitor payer policy activity
Billing Code Overview
CPT code 40702 describes the surgical repair of a cleft lip defect or associated nasal deformity performed as one stage of a planned two-stage operation. This code is specifically applicable when the repair is performed bilaterally.
-
Service type: Surgical repair of bilateral cleft lip and/or nasal deformity as part of a staged reconstructive procedure
-
Typical site of service: Operating room in an ambulatory surgical center or hospital inpatient/outpatient surgical setting