Find policies, billing codes, payers, states, and providers
CPT 40805: Removal of Foreign Body from Oral Vestibule
CPT code 40805 describes removal of a foreign body from the vestibule or anterior-most portion of the oral cavity and applies when the case is straightforward or requires extended time due to complexity. This code is used by oral and maxillofacial providers, otolaryngologists, and other clinicians who manage foreign bodies in the front portion of the mouth. Nationally, accurate use of CPT code 40805 matters for clinical documentation, correct service categorization, and claims processing when additional complexity or extended operative time is involved.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise review of clinical context for the procedure, guidance on documentation expectations tied to complexity and extended time, and an outline of common modifiers and administrative elements associated with billing this service. The publication also summarizes typical sites of service, common payer considerations, and what to include in operative reports to support use of CPT code 40805.
This summary is aimed at clinicians, coding professionals, and policy analysts seeking a national-level briefing on the code's clinical application, documentation needs, and payer relevance. Data not available in the input for specific reimbursement benchmarks, associated taxonomies, or ICD-10 pairings is noted where applicable within the full publication.
Customize your policy alerts
Sign up for cpt 40805 policy alerts
Get alerted when payer policies referencing 40805 are released or updated.
Monitor payer policy activity
Billing Code Overview
CPT code 40805 describes the removal of a foreign body located in the vestibule or the anterior-most portion of the oral cavity. This procedure applies when removal is straightforward or when the case requires extended time because of complexity or complications; the operative report should document the complexity and any additional time required.
-
Service Type: Foreign body removal from the oral vestibule/anterior oral cavity
-
Typical Site of Service: Office, outpatient clinic, or ambulatory surgical setting focused on oral cavity procedures