CPT 40816
Excision of mouth lesion
CPT 40816 at a glance
- Code
- 40816
- Code type
- CPT/HCPCS
- Short descriptor
- Excision of mouth lesion
- Category
- ASC Surgical
- ASC payment status
- Payable in an ASC (surgical)
- CMS addendum
- AA (Surgical)
- Typical setting
- Ambulatory surgery center (POS 24) or hospital outpatient department (POS 22).
What is CPT code 40816?
CPT 40816 is a CPT/HCPCS procedure code. Its official CMS short descriptor is "Excision of mouth lesion". In the ASC context it is grouped under ASC Surgical.
Is CPT 40816 payable in an ambulatory surgery center (ASC)?
CPT 40816 appears on Medicare's ASC Covered Procedures List (CMS Addendum AA), so Medicare reimburses it when the surgery is performed in a certified ambulatory surgery center.
Where is CPT 40816 typically performed?
Ambulatory surgery center (POS 24) or hospital outpatient department (POS 22).
Which specialties use CPT 40816?
CPT 40816 is most associated with General Surgery.
Reference information compiled from the CMS April 2026 ASC payment addenda (AA, BB, EE). Codes, descriptors, and ASC payment status change with each CMS update. This is a coding reference, not billing, coding, or legal advice. Always verify against the current CMS addenda and individual payer policy before billing. CPT is a registered trademark of the American Medical Association.