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Coding & BillingLong White Coat

CPT 12001 – Simple Wound Repair

By July 15, 2019 No Comments
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CPT 12001 – Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet). This code is used for the simplest type of superficial repair of wound that does not exceed 2.5 cm in length.

A superficial wound of the scalp, neck, axillae, external genitalia, trunk and/other extremities (hands or feet) that involves the external epidermis, dermis or subcutaneous tissue is closed by a physician by performing a single-layer closure. The physician uses tissue adhesives, staples or suture materials for this type of wound closure. Local anesthetic and chemical or electrocauterization are used of wounds not closed.

Wound repair is classified into Simple, Intermediate or Complex. Simple repair (CPTS 12001-12007 and 12011-12018) is used when the wound is superficial, involving only the epidermis and dermis, or subcutaneous tissues that does not involve deeper structures. This type of repair only requires a simple one-layer closure/suture.

The length of the wound is another component that must be considered when coding the repair. Whether curved, angular or stellate the repaired wound should be measured in centimeters and must not exceed 2.5 cm in length to qualify for CPT 12001. For multiple lacerations, add the lengths of the wound together and choose the appropriate code based on its size. We should only add the lengths of wounds of the same anatomic site.