CPT Code Lookup Tool
Use this free CPT Lookup Tool to search for Current Procedural Terminology (CPT) codes, descriptions, and related details — designed to help streamline and simplify your medical billing process.
Enter a CPT code or keyword to search
Search Results
Office or other outpatient visit
Evaluation and management of an established patient...
Information
This code is for use in medical billing and coding.
Information
This code is part of the section of CPT codes.
Office or other outpatient visit for the evaluation and management...
Note
This description reflects the 2021 E/M coding guidelines.
Information
codes are used to report evaluation and management services provided in various settings.
Information
RVUs are used to determine the fee for a service under the Medicare Physician Fee Schedule.
Information
This code is commonly used by primary care providers, but may be used by any specialty providing office visits.
Significant, separately identifiable E/M service
Information
Modifiers provide additional information about the service provided.
Detail About CPT 40806
Related CPT Codes
| CPT Code | Description |
|---|---|
| 40804 | Excision of lingual frenum |
| 40808 | Revision of lingual frenum |
| 41115 | Incision of labial frenum |
| 41512 | Excision of labial frenum |
| 42140 | Frenulectomy, tongue |
Commonly Billed With
- CPT 21085 - Excision, benign lesion including margins, face, ears, eyelids, nose, lips; excised diameter over 4.0 cm
Often billed together for comprehensive oral procedures.
- CPT 21087 - Excision, benign lesion including margins, face, ears, eyelids, nose, lips; excised diameter 1.1 to 2.0 cm
Commonly performed in conjunction with lingual frenum incision for pediatric patients.
Clinical Scenarios
Scenario 1
A 6-month-old infant presents with feeding difficulties due to ankyloglossia. The physician performs an incision of the lingual frenum (CPT 40806) to improve tongue mobility and alleviate feeding issues.
Scenario 2
A 5-year-old child is scheduled for a lingual frenum incision (CPT 40806) to address speech impediments caused by restricted tongue movement. The procedure aims to enhance the child's ability to articulate sounds effectively.
Scenario 3
A teenager seeks medical intervention for persistent jaw pain and difficulty in fully opening their mouth. Following a thorough evaluation, the healthcare provider recommends an incision of the lingual frenum (CPT 40806) to improve jaw mobility and reduce discomfort.
Frequently Asked Questions
Q1: When should I use CPT 40806?
CPT 40806 is used for surgical incision of the lingual frenum to address conditions like ankyloglossia that restrict tongue movement.
Q2: What documentation is required for CPT 40806?
Documentation should include the reason for the procedure, patient symptoms or functional limitations, and postoperative care plan.
Q3: What are common modifiers used with CPT 40806?
Common modifiers include 51 (multiple procedures), 59 (distinct procedural service), and 79 (unrelated procedure during postoperative period).
Q4: What are common denial reasons for CPT 40806?
Denials may occur if proper documentation supporting medical necessity is lacking or if the procedure is considered cosmetic rather than medically necessary.
Q5: How does CPT 40806 differ from similar codes?
CPT40806 specifically addresses the incision of the lingual frenum, whereas related codes like excisions or revisions involve different procedures on the same anatomical structures. / p >
Add CPT Lookup to Your Desktop
Install this free AI tool on your desktop for quick access to accurate CPT codes anytime.