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CPT 40806: Incision of Labial Frenum
CPT code 40806 represents an incision of the labial frenum without removal, a minor oral soft-tissue surgical procedure used to release a tight frenum and adjacent tissues. Nationally, this code is relevant to pediatric and adult oral surgery, dental-oral medicine, and otolaryngology practices where frenum-related functional or orthodontic concerns arise. It affects coding, billing, and coverage determination for outpatient and office-based services.
Key payers in this analysis include Aetna, Blue Cross Blue Shield, Cigna, UnitedHealthcare, and Medicare. Readers will find a concise review of what the code denotes clinically, typical service and site-of-service settings, common modifiers and billing considerations, and where to look for coverage variations across major payers. The summary also highlights typical clinical contexts for use, such as freeing a restrictive frenum that limits lip mobility or interferes with orthodontic treatment.
This publication provides national-level benchmarks and policy context relevant to billing and coverage, as well as practical coding-related information for claims and documentation. Data not available in the input will be noted where applicable, and the report avoids state-specific guidance to remain broadly applicable.
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Billing Code Overview
CPT code 40806 describes an incision of the labial frenum, the small tag of tissue in the center of the upper or lower lip that attaches the lip to the gums. The procedure involves incising the frenum without removing it, typically to release a tight frenum and adjacent tissues.
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Service type: Minor soft-tissue surgical procedure of the oral mucosa
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Typical site of service: Office, ambulatory surgical center, or outpatient oral surgery setting