CPT Code for Laceration Repair
Adhesive strips alone should be categorized using the appropriate evaluation and management code. Simple laceration repair includes superficial, single-layer closures with local anesthesia; intermediate laceration repair includes multiple-layer closures or extensive cleaning; and complex laceration repair includes multiple-layer closures, debridement, and other wound preparation (e.g., undermining of skin for better wound edge closure). Laceration repair of diaphragm, esophagogastric, mouth, palate, stomach, tongue have separate set of codes.
The codes within these categories are further characterized by location of the injury.
For instance, 12001–12007 refer to simple repairs on the scalp, neck, axillae, external genitalia, trunk, and/or extremities. Codes 12051–12057 describe intermediate repairs of wounds specifically to the face, ears, eyelids, nose, lips, and/or mucous membranes.
Once you've identified whether the repair is simple or intermediate or complex and what part of the body was injured, note the length of the wound.
When the patient has multiple lacerations of the same repair complexity on the same body part, coding is easy: You simply add the lengths of each wound together and choose the matching code.
Do not add up lengths from different anatomic sites (for instance, face and extremities). Bill each site individually, totaling repair lengths only within sites.