Find policies, billing codes, payers, states, and providers
CPT 12046: Intermediate Repair of Superficial Wound, 20.1–30.0 cm
CPT code 12046 designates an intermediate repair procedure for superficial wounds of the neck, hands, feet, and external genitalia measuring 20.1 to 30.0 cm. This code identifies a commonly performed minor surgical closure that uses layered techniques tailored to specified anatomic sites and moderate defect lengths. Nationally, accurate use of 12046 matters for consistent clinical documentation, appropriate billing of surgical services in ambulatory and outpatient settings, and aligning payment with the complexity of wound closure.
Key payers in scope include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise explanation of what the code represents, typical sites of service where it is performed, and the clinical context for using the code. The report also covers payer coverage considerations and common modifiers used with this procedure where available. Practical benchmarks, coding guidance, and any recent policy updates are summarized to help clinical and billing stakeholders understand positioning of 12046 relative to related surgical repair codes.
Data not available in the input: specific payer policies, associated taxonomies, and ICD-10 diagnosis pairings.
Customize your policy alerts
Sign up for cpt 12046 policy alerts
Get alerted when payer policies referencing 12046 are released or updated.
Monitor payer policy activity
Billing Code Overview
CPT code 12046 describes an intermediate repair of superficial wounds to the neck, hands, feet, and/or external genitalia when the total defect size is 20.1 to 30.0 cm. This service represents a surgical wound closure procedure that involves layered closure techniques appropriate for superficial wounds of moderate length in specified anatomic sites.
-
Service type: Intermediate surgical wound repair
-
Typical site of service: Ambulatory surgical centers, hospital outpatient departments, and physician offices where minor surgical procedures are performed