CPT 40819
Excise lip or cheek fold
CPT 40819 at a glance
- Code
- 40819
- Code type
- CPT/HCPCS
- Short descriptor
- Excise lip or cheek fold
- Category
- ASC Surgical
- ASC eligibility
- ASC-eligible (surgical)
- Typical setting
- Ambulatory surgery center (POS 24) or hospital outpatient department (POS 22).
- Medicare ASC rate
- $659.17 national · 2026Q2
What is CPT code 40819?
CPT 40819 is a CPT/HCPCS procedure code. Its official short descriptor is "Excise lip or cheek fold". In the ASC context it is grouped under ASC Surgical.
Is CPT 40819 eligible in an ambulatory surgery center (ASC)?
CPT 40819 can be performed in a certified ambulatory surgery center.
Where is CPT 40819 typically performed?
Ambulatory surgery center (POS 24) or hospital outpatient department (POS 22).
What is the Medicare ASC payment rate for CPT 40819?
The national Medicare ASC payment rate for CPT 40819 is $659.17 (CMS ASC Payment System, 2026Q2). This is the national, unadjusted amount published by CMS; the amount an individual ambulatory surgery center is paid is adjusted for local wage index and may differ. It reflects Medicare's facility payment only and does not include the surgeon's professional fee.
Which specialties use CPT 40819?
CPT 40819 is most associated with General Surgery.
Reference information about ASC eligibility and typical procedure setting. Codes, descriptors, and ASC-eligibility status change over time. This is a coding reference, not billing, coding, or legal advice. Always verify against current guidance and individual payer policy before scheduling or billing. CPT is a registered trademark of the American Medical Association.