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CPT 13122: Additional Complex Wound Repair — Scalp, Arms, Legs
CPT code 13122 denotes an additional complex repair of a wound to the scalp, arms, and/or legs for each additional 5 cm or less beyond the primary repair. This add-on code is used when surgical closure requires complex layered repair techniques over extended wound length and is billed in conjunction with a primary complex repair code. Nationally, accurate use of this code matters for appropriate payment for incremental operative work and for tracking surgical complexity in wound care.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of clinical context for complex wound closure, typical sites of service where 13122 is billed, and how the code is applied as an adjunct to primary complex repair codes. The publication also covers common modifiers encountered with surgical services, payer policy considerations that affect coverage and bundling, and typical billing scenarios where 13122 is relevant.
This summary provides benchmarks and policy-oriented guidance on coding and billing practice patterns nationally, clarifies when 13122 is appropriate as an additional procedure, and outlines operational details that affect claim adjudication and documentation requirements. Data not available in the input.
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Billing Code Overview
CPT code 13122 describes an additional complex repair of a wound to the scalp, arms, and/or legs for each additional 5 cm or less beyond the primary repair. This code is reported separately to denote an extra procedure performed in addition to the primary complex wound repair.
Service Type: Complex surgical wound repair (additional length)
Typical Site of Service: Operating room, hospital outpatient department, ambulatory surgery center, or emergency department, depending on clinical setting and provider workflow.