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CPT 12045: Intermediate Repair of Superficial Wounds, 12.6–20.0 cm
CPT code 12045 designates the intermediate repair of superficial wounds on the neck, hands, feet, and/or external genitalia when the wound length is between 12.6 and 20.0 cm. As a commonly used surgical closure code, it defines billing and clinical documentation expectations for a mid-range complexity wound repair procedure. Nationally, accurate use of this code matters for proper payment, quality measurement, and clinical audit, especially in settings that frequently treat traumatic or surgical lacerations.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of code definition and clinical context, typical sites of service, common modifiers associated with procedural coding, and related coding considerations. The publication outlines typical documentation elements tied to this level of repair, expected service settings, and how this code fits into broader wound-care service lines.
This summary serves clinicians, billing professionals, and policy analysts seeking national-level guidance on the classification and use of CPT code 12045, operational benchmarks, and implications for revenue cycle and compliance. Data not available in the input are noted where applicable.
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Billing Code Overview
CPT code 12045 describes the intermediate repair of superficial wounds located on the neck, hands, feet, and/or external genitalia measuring 12.6 to 20.0 cm. This procedure classification indicates an intermediate complexity closure, typically involving layered closure of subcutaneous tissues and/or extensive cleaning, debridement, or removal of foreign material.
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Service type: Intermediate wound repair
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Typical site of service: Ambulatory surgical centers, hospital outpatient departments, emergency departments, or physician offices equipped for minor surgical procedures
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