Question: California Subscriber Answer: Besides, payers will not reimburse for repair of 1st or 2nd degree lacerations, but some will pay for repair of welldocumented 3rd and 4th degree lacerations. If you want to get paid, you will need to use the integumentary repair codes by size and type (simple, intermediate or complex). For instance, you would report 12001-12007 for simple repair, 12071-12047 for intermediate repair, and 13131-13132 for complex repair. Another option is to add modifier 22 (Increased procedural service) to the code you reported for the delivery/maternity care (such as, 59400, Routine obstetric care including antepartum care, vaginal delivery [with or without episiotomy, and/or forceps] and postpartum care) -- but only if the documentation supports significant additional work over and above a normal episiotomy repair.