© Copyright 2025 American Medical Association. All rights reserved.
The CPT® Code 12007 refers to the simple repair of superficial wounds located on various parts of the body, including the scalp, neck, axillae, external genitalia, trunk, and extremities, such as hands and feet. This procedure is specifically indicated for wounds that exceed 30.0 cm in length. A simple repair is characterized by its focus on superficial layers of the skin, which may include the epidermis, dermis, or subcutaneous tissue, without any involvement of deeper tissues. The procedure begins with the cleansing of the wound to prevent infection, followed by the administration of a local anesthetic to ensure patient comfort during the repair process. During the repair, the wound is carefully inspected to confirm its superficial nature and to assess the best method for closure. The closure is performed using a simple, one-layer technique, which may involve sutures, staples, or tissue adhesive. These closure methods can be utilized individually or in combination, including the use of adhesive strips to enhance the repair. It is important to note that certain methods, such as chemical cautery, electrocautery, or the use of adhesive strips alone, do not qualify as a simple repair and should not be reported under this code. Instead, they would be included as part of an evaluation and management service. For accurate coding, it is essential to differentiate between the various codes available for simple repairs based on the size of the wound, with specific codes designated for wounds of different lengths, ensuring proper documentation and billing practices.
© Copyright 2025 Coding Ahead. All rights reserved.
The procedure associated with CPT® Code 12007 is indicated for the treatment of superficial wounds that are located on the scalp, neck, axillae, external genitalia, trunk, and/or extremities. These wounds must exceed 30.0 cm in length and are typically characterized by their superficial nature, involving only the epidermis, dermis, or subcutaneous tissue without deeper tissue involvement. The procedure is performed when the wound is clean and not heavily contaminated, making it suitable for a simple repair approach.
The procedure for CPT® Code 12007 involves several key steps to ensure effective repair of the wound. First, the wound is thoroughly cleansed to remove any debris or contaminants, which is crucial for preventing infection. Following the cleansing, a local anesthetic is administered to the patient to minimize discomfort during the procedure. Once the area is adequately anesthetized, the healthcare provider inspects the wound to confirm that it is indeed superficial and suitable for a simple repair. After inspection, the provider proceeds with the closure of the wound using a one-layer technique. This closure can be achieved through various methods, including sutures, staples, or tissue adhesive. The choice of closure method may depend on the specific characteristics of the wound and the provider's preference. It is important to note that these closure methods can be used in combination, such as employing sutures along with adhesive strips for added support. However, methods like chemical cautery or electrocautery, as well as adhesive strips used alone, do not qualify as a simple repair and should not be reported under this code. The procedure concludes with a final inspection of the closure to ensure it is secure and properly aligned.
After the completion of the procedure associated with CPT® Code 12007, the patient may be provided with specific post-procedure care instructions to promote healing and prevent complications. This may include guidance on keeping the wound clean and dry, as well as instructions on how to care for the closure site. Patients are typically advised to monitor the area for any signs of infection, such as increased redness, swelling, or discharge. Follow-up appointments may be scheduled to assess the healing process and to remove sutures or staples if necessary. It is essential for patients to adhere to the provided care instructions to ensure optimal recovery and minimize the risk of complications.
| Short Descr | RPR S/N/AX/GEN/TRNK >30.0 CM | Medium Descr | SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM | Long Descr | Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); over 30.0 cm | Status Code | Active Code | Global Days | 000 - Endoscopic or Minor Procedure | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 1 - Statutory payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 1 - Co-surgeons could be paid, though supporting documentation is required... | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Procedure or Service, Multiple Reduction Applies | ASC Payment Indicator | Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P5A - Ambulatory procedures - skin | MUE | 1 | CCS Clinical Classification | 171 - Suture of skin and subcutaneous tissue |
| 22 | Increased procedural services: when the work required to provide a service is substantially greater than typically required, it may be identified by adding modifier 22 to the usual procedure code. documentation must support the substantial additional work and the reason for the additional work (ie, increased intensity, time, technical difficulty of procedure, severity of patient's condition, physical and mental effort required). note: this modifier should not be appended to an e/m service. | 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 78 | Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.) | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | AQ | Physician providing a service in an unlisted health professional shortage area (hpsa) | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | CR | Catastrophe/disaster related | GC | This service has been performed in part by a resident under the direction of a teaching physician | GV | Attending physician not employed or paid under arrangement by the patient's hospice provider | GW | Service not related to the hospice patient's terminal condition | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) | X4 | Episodic/focused services: for reporting services by clinicians who provide focused care on particular types of treatment limited to a defined period and circumstance; the patient has a problem, acute or chronic, that will be treated with surgery, radiation, or some other type of generally time-limited intervention; reporting clinician service examples include but are not limited to, the orthopedic surgeon performing a knee replacement and seeing the patient through the postoperative period | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
|
Date
|
Action
|
Notes
|
|---|---|---|
| 2013-01-01 | Changed | Short Descriptor changed. |
| Pre-1990 | Added | Code added. |
Get instant expert-level medical coding assistance.