What is the CPT code for wound closure?
What is the CPT code for wound closure?
Complex Wound Repairs
| CPT Code | Description |
|---|---|
| 13151 | 1.1 cm to 2.5 cm |
| 13152 | 2.6 cm to 7.5 cm |
| 13153 | each additional 5 cm or less |
| 13160 | Secondary closure of surgical wound or dehiscence, extensive or complicated |
How do you code wound repair?
The code sets for laceration repair are:
- 12001-12007 for simple repair to scalp, neck, axillae, external genitalia, trunk, and/or extremities (including hands and feet)
- G0168 for wound closure using tissue adhesive only when the claim is being billed to Medicare.
What are the CPT codes for simple wound closure?
Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.5 cm or less (12001) Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.6 cm to 7.5 cm (12002)
What are the code descriptors for wound repair?
Each of these variables is specified in the repair CPT® code descriptors. For example: 12013 Simple repair of superficial wounds [complexity] of face, ears, eyelids, nose, lips and/or mucous membranes [location]; 2.6 cm to 5.0 cm [length]
What is the correct CPT code for a laceration?
The length of the wound closed (in centimeters): For example, code 12001 should be assigned for a repair involving any of the relevant anatomical locations that are 2.5 cm or less, while code 12002 should be used for repairs that are 2.6 cm to 7.5 cm. All the wounds repaired should be coded.
When to use cumulative code for wound repair?
When multiple wounds are repaired, check if any repairs of the same classification (simple, intermediate, complex) are grouped to the same anatomic area. If so, per CPT® coding guidelines, the lengths of the wounds repaired should be added together and reported with a single, cumulative code.
What is the correct coding for wound closure?
If the wound had been 16 cm long, proper coding would be 13132 and 13133 x 2 (7.5 cm + 5 cm + 3.5 cm), and so on. Often, the clinician may repair several wounds in a single session. When this occurs, determine the proper coding for each repair individually. Then, check if any repairs of the same complexity are grouped to the same anatomic areas.
Each of these variables is specified in the repair CPT® code descriptors. For example: 12013 Simple repair of superficial wounds [complexity] of face, ears, eyelids, nose, lips and/or mucous membranes [location]; 2.6 cm to 5.0 cm [length]
The length of the wound closed (in centimeters): For example, code 12001 should be assigned for a repair involving any of the relevant anatomical locations that are 2.5 cm or less, while code 12002 should be used for repairs that are 2.6 cm to 7.5 cm. All the wounds repaired should be coded.
When multiple wounds are repaired, check if any repairs of the same classification (simple, intermediate, complex) are grouped to the same anatomic area. If so, per CPT® coding guidelines, the lengths of the wounds repaired should be added together and reported with a single, cumulative code.