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CPT 12036: Intermediate Wound Repair, 20.1–30 cm
CPT code 12036 denotes an intermediate wound repair procedure for the scalp, axillae, trunk, and extremities (excluding hands and feet) for wound lengths between 20.1 and 30 cm. This code captures a commonly billed surgical service performed across outpatient settings when layered closure is required to approximate deeper tissues and skin. As a discrete procedure code, 12036 matters nationally because it standardizes reporting for intermediate complexity repairs and influences reimbursement, resource allocation, and surgical workflow documentation.
Key payers in this discussion include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of the clinical context for intermediate wound repair, typical sites of service where the procedure is delivered, and the payer landscape covered in the analysis. The publication also summarizes benchmark considerations, common billing modifiers supplied in the input, and related coding guidance where available.
This document is intended for billing professionals, surgical providers, and policy analysts seeking a concise reference for CPT code 12036, including practical coding context and payer coverage considerations. Data not available in the input will be explicitly noted in relevant sections.
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Billing Code Overview
CPT code 12036 describes an intermediate repair of wounds to the scalp, axillae, trunk, and/or extremities (excluding hands and feet) for wounds measuring 20.1 to 30 cm. This service typically involves layered closure techniques that may include suturing of subcutaneous tissues and skin under intermediate complexity.
Service type: Intermediate wound repair
Typical site of service: Outpatient clinic, ambulatory surgery center, emergency department, or physician office depending on clinical context and patient needs.
Data not available in the input.