{"procedure":{"code_type":"CPT","code":"40799","lay_name":"Unlisted procedure on the lips","blurb":"Used for a surgical procedure on the lips that has no specific billing code of its own; the operative report describes what was done.","slug":"cpt-40799-unlisted-procedure-on-the-lips","description":"Unlisted Procedure Lips","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"32","label":"Other non-OR therapeutic procedures on nose, mouth and pharynx","surgery_flag":"neither"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-23T21:37:34.157880Z","filing_date_min":"2023-03-09","filing_date_max":"2026-09-17","checked_from":"2026-09-05T02:22:45.003818Z","checked_through":"2026-09-23T21:50:15.411048Z","n_priced_setters":3956,"n_filed":490,"n_usable":456,"n_not_usable":2,"n_labelled":14,"n_no_cash":17,"n_estimated":1,"n_states":43,"cash_p10":121.11,"cash_p20":186.3,"cash_p25":217.35,"cash_p50":402.02,"cash_p75":854.1,"cash_p80":1347.2,"cash_p90":3382.4,"cash_mean_trimmed":462.75,"gross_p50":713.0,"cash_to_gross_p50":0.6,"medicare_rate":241.98,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":1.6614,"by_state":[{"state":"AL","n":3,"p20":null,"p50":null,"p80":null},{"state":"AR","n":4,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":2,"p20":null,"p50":null,"p80":null},{"state":"CA","n":48,"p20":655.63,"p50":1612.52,"p80":3382.4},{"state":"CO","n":7,"p20":null,"p50":null,"p80":null},{"state":"CT","n":5,"p20":null,"p50":null,"p80":null},{"state":"FL","n":19,"p20":423.8,"p50":666.6,"p80":666.6},{"state":"GA","n":6,"p20":null,"p50":null,"p80":null},{"state":"HI","n":3,"p20":null,"p50":null,"p80":null},{"state":"IA","n":9,"p20":null,"p50":null,"p80":null},{"state":"ID","n":1,"p20":null,"p50":null,"p80":null},{"state":"IL","n":12,"p20":366.3,"p50":474.05,"p80":2200.0},{"state":"IN","n":2,"p20":null,"p50":null,"p80":null},{"state":"KS","n":2,"p20":null,"p50":null,"p80":null},{"state":"KY","n":2,"p20":null,"p50":null,"p80":null},{"state":"LA","n":10,"p20":100.0,"p50":226.56,"p80":740.0},{"state":"MA","n":10,"p20":221.16,"p50":305.2,"p80":625.53},{"state":"MD","n":2,"p20":null,"p50":null,"p80":null},{"state":"ME","n":9,"p20":null,"p50":null,"p80":null},{"state":"MI","n":30,"p20":325.68,"p50":975.0,"p80":4334.32},{"state":"MN","n":7,"p20":null,"p50":null,"p80":null},{"state":"MO","n":10,"p20":146.3,"p50":293.15,"p80":293.15},{"state":"MS","n":14,"p20":68.64,"p50":120.4,"p80":168.6},{"state":"MT","n":1,"p20":null,"p50":null,"p80":null},{"state":"NC","n":3,"p20":null,"p50":null,"p80":null},{"state":"ND","n":3,"p20":null,"p50":null,"p80":null},{"state":"NE","n":6,"p20":null,"p50":null,"p80":null},{"state":"NH","n":6,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":28,"p20":257.26,"p50":3113.03,"p80":5419.0},{"state":"NY","n":20,"p20":274.8,"p50":274.8,"p80":295.66},{"state":"OH","n":27,"p20":271.5,"p50":484.9,"p80":484.9},{"state":"OK","n":3,"p20":null,"p50":null,"p80":null},{"state":"OR","n":12,"p20":245.77,"p50":614.9,"p80":672.75},{"state":"PA","n":28,"p20":107.13,"p50":128.4,"p80":491.0},{"state":"RI","n":1,"p20":null,"p50":null,"p80":null},{"state":"SC","n":5,"p20":null,"p50":null,"p80":null},{"state":"TN","n":5,"p20":null,"p50":null,"p80":null},{"state":"TX","n":32,"p20":167.79,"p50":433.65,"p80":433.65},{"state":"UT","n":1,"p20":null,"p50":null,"p80":null},{"state":"VA","n":26,"p20":174.0,"p50":316.0,"p80":356.0},{"state":"WA","n":6,"p20":null,"p50":null,"p80":null},{"state":"WI","n":16,"p20":402.02,"p50":402.02,"p80":854.1},{"state":"WV","n":10,"p20":213.5,"p50":214.5,"p80":358.0}],"by_segment":{"hospital_type":[{"key":"acute","n":381,"p20":204.0,"p50":429.0,"p80":1612.52},{"key":"childrens","n":6,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":69,"p20":121.8,"p50":245.77,"p80":854.1}],"ownership":[{"key":"for_profit","n":42,"p20":175.61,"p50":376.2,"p80":683.4},{"key":"government","n":54,"p20":144.6,"p50":295.5,"p80":957.5},{"key":"nonprofit","n":360,"p20":187.43,"p50":402.02,"p80":1612.52}],"affiliation":[{"key":"affiliated","n":392,"p20":186.3,"p50":402.02,"p80":1496.0},{"key":"independent","n":64,"p20":200.26,"p50":364.0,"p80":1338.75}]},"histogram":[{"lo":88.5,"hi":132.16,"n":33},{"lo":132.16,"hi":197.36,"n":44},{"lo":197.36,"hi":294.72,"n":76},{"lo":294.72,"hi":440.12,"n":83},{"lo":440.12,"hi":657.24,"n":45},{"lo":657.24,"hi":981.48,"n":52},{"lo":981.48,"hi":1465.68,"n":10},{"lo":1465.68,"hi":2188.75,"n":23},{"lo":2188.75,"hi":3268.53,"n":12},{"lo":3268.53,"hi":4881.0,"n":34}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-23T21:37:34.157880Z","filing_date_min":"2024-07-01","filing_date_max":"2026-09-17","checked_from":"2026-09-05T02:26:07.123045Z","checked_through":"2026-09-23T21:50:15.411048Z","n_priced_setters":3956,"n_filed":338,"n_usable":314,"n_not_usable":1,"n_labelled":11,"n_no_cash":12,"n_estimated":0,"n_states":38,"cash_p10":114.6,"cash_p20":167.79,"cash_p25":187.43,"cash_p50":433.65,"cash_p75":740.0,"cash_p80":1046.56,"cash_p90":2800.0,"cash_mean_trimmed":447.68,"gross_p50":693.0,"cash_to_gross_p50":0.6,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AR","n":4,"p20":null,"p50":null,"p80":null},{"state":"CA","n":42,"p20":713.0,"p50":1612.52,"p80":3382.4},{"state":"CO","n":7,"p20":null,"p50":null,"p80":null},{"state":"CT","n":2,"p20":null,"p50":null,"p80":null},{"state":"FL","n":12,"p20":666.6,"p50":666.6,"p80":666.6},{"state":"GA","n":3,"p20":null,"p50":null,"p80":null},{"state":"HI","n":3,"p20":null,"p50":null,"p80":null},{"state":"IA","n":9,"p20":null,"p50":null,"p80":null},{"state":"ID","n":1,"p20":null,"p50":null,"p80":null},{"state":"IL","n":6,"p20":null,"p50":null,"p80":null},{"state":"IN","n":2,"p20":null,"p50":null,"p80":null},{"state":"KS","n":1,"p20":null,"p50":null,"p80":null},{"state":"KY","n":2,"p20":null,"p50":null,"p80":null},{"state":"LA","n":6,"p20":null,"p50":null,"p80":null},{"state":"MA","n":9,"p20":null,"p50":null,"p80":null},{"state":"MD","n":2,"p20":null,"p50":null,"p80":null},{"state":"ME","n":8,"p20":null,"p50":null,"p80":null},{"state":"MI","n":24,"p20":725.0,"p50":975.0,"p80":4334.32},{"state":"MN","n":3,"p20":null,"p50":null,"p80":null},{"state":"MO","n":9,"p20":null,"p50":null,"p80":null},{"state":"MS","n":10,"p20":68.64,"p50":72.0,"p80":128.92},{"state":"NC","n":3,"p20":null,"p50":null,"p80":null},{"state":"ND","n":3,"p20":null,"p50":null,"p80":null},{"state":"NE","n":4,"p20":null,"p50":null,"p80":null},{"state":"NH","n":6,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":1,"p20":null,"p50":null,"p80":null},{"state":"NY","n":2,"p20":null,"p50":null,"p80":null},{"state":"OH","n":22,"p20":271.5,"p50":484.9,"p80":484.9},{"state":"OK","n":1,"p20":null,"p50":null,"p80":null},{"state":"OR","n":12,"p20":245.77,"p50":614.9,"p80":672.75},{"state":"PA","n":23,"p20":107.13,"p50":125.76,"p80":782.8},{"state":"SC","n":2,"p20":null,"p50":null,"p80":null},{"state":"TN","n":4,"p20":null,"p50":null,"p80":null},{"state":"TX","n":32,"p20":167.79,"p50":433.65,"p80":433.65},{"state":"VA","n":25,"p20":174.0,"p50":316.0,"p80":334.5},{"state":"WA","n":5,"p20":null,"p50":null,"p80":null},{"state":"WI","n":2,"p20":null,"p50":null,"p80":null},{"state":"WV","n":2,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":266,"p20":186.3,"p50":433.65,"p80":1496.0},{"key":"childrens","n":4,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":44,"p20":120.13,"p50":204.25,"p80":975.0}],"ownership":[{"key":"for_profit","n":24,"p20":167.79,"p50":376.2,"p80":492.75},{"key":"government","n":26,"p20":135.66,"p50":421.2,"p80":960.0},{"key":"nonprofit","n":264,"p20":167.79,"p50":433.65,"p80":1347.2}],"affiliation":[{"key":"affiliated","n":280,"p20":167.79,"p50":433.65,"p80":1046.56},{"key":"independent","n":34,"p20":161.4,"p50":305.2,"p80":836.83}]},"histogram":[{"lo":87.0,"hi":125.46,"n":24},{"lo":125.46,"hi":180.91,"n":33},{"lo":180.91,"hi":260.87,"n":34},{"lo":260.87,"hi":376.19,"n":33},{"lo":376.19,"hi":542.47,"n":59},{"lo":542.47,"hi":782.24,"n":39},{"lo":782.24,"hi":1128.01,"n":16},{"lo":1128.01,"hi":1626.61,"n":20},{"lo":1626.61,"hi":2345.6,"n":7},{"lo":2345.6,"hi":3382.4,"n":23}],"previous":null}},"related":[{"code_type":"CPT","code":"92526","lay_name":"Swallowing or feeding therapy session","slug":"cpt-92526-swallowing-or-feeding-therapy-session"},{"code_type":"CPT","code":"41250","lay_name":"Stitching a small cut of the tongue or mouth floor","slug":"cpt-41250-stitching-a-small-cut-of-the-tongue-or-mouth-floor"},{"code_type":"CPT","code":"41252","lay_name":"Stitching a large or complex tongue or mouth cut","slug":"cpt-41252-stitching-a-large-or-complex-tongue-or-mouth-cut"},{"code_type":"CPT","code":"41010","lay_name":"Clipping the band of tissue under the tongue","slug":"cpt-41010-clipping-the-band-of-tissue-under-the-tongue"},{"code_type":"CPT","code":"42000","lay_name":"Drainage of an abscess on the palate or uvula","slug":"cpt-42000-drainage-of-an-abscess-on-the-palate-or-uvula"},{"code_type":"CPT","code":"40830","lay_name":"Stitching a mouth cut up to 2.5 cm","slug":"cpt-40830-stitching-a-mouth-cut-up-to-2-5-cm"},{"code_type":"CPT","code":"40831","lay_name":"Stitching a mouth cut over 2.5 cm or a complex cut","slug":"cpt-40831-stitching-a-mouth-cut-over-2-5-cm-or-a-complex-cut"},{"code_type":"CPT","code":"42960","lay_name":"Simple control of bleeding in the mouth or throat","slug":"cpt-42960-simple-control-of-bleeding-in-the-mouth-or-throat"},{"code_type":"CPT","code":"41251","lay_name":"Stitching a cut up to 2.5 cm on the back of the tongue","slug":"cpt-41251-stitching-a-cut-up-to-2-5-cm-on-the-back-of-the-tongue"},{"code_type":"CPT","code":"41115","lay_name":"Release of the tongue tie band under the tongue","slug":"cpt-41115-release-of-the-tongue-tie-band-under-the-tongue"},{"code_type":"CPT","code":"42999","lay_name":"Unlisted procedure on the throat, adenoids, or tonsils","slug":"cpt-42999-unlisted-procedure-on-the-throat-adenoids-or-tonsils"},{"code_type":"CPT","code":"30802","lay_name":"Deep tissue treatment to shrink swollen nasal tissue","slug":"cpt-30802-deep-tissue-treatment-to-shrink-swollen-nasal-tissue"}]}