2025 CPT code 12011
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Integumentary System Surgery Feed
Simple repair of superficial wounds of the face, ears, eyelids, nose, lips, and/or mucous membranes; 2.5 cm or less.
Modifiers may be applied depending on circumstances such as multiple procedures (modifier 51), reduced services (modifier 52), or distinct procedural services (modifier 59).
Medical necessity for code 12011 is established by the presence of a superficial wound requiring closure to prevent infection, promote healing, and improve cosmetic outcome.The wound should be assessed and determined to be appropriate for simple closure.Extensive debridement or complex repair techniques would necessitate different codes.
The physician's responsibility involves the direct closure of the superficial wound using sutures, staples, or tissue adhesives. This includes hemostasis (control of bleeding) and the appropriate preparation of the wound for closure.If deeper structures are involved, or if the wound requires more complex repair techniques, additional codes may apply.
In simple words: This code covers simple stitching or gluing of minor surface wounds on the face, ears, eyelids, nose, or lips that are 2.5 centimeters or smaller.It only includes the repair itself, not any numbing shots or stopping of bleeding.
This CPT code encompasses the simple repair of superficial wounds located on the face, ears, eyelids, nose, lips, and/or mucous membranes.The wounds must be superficial, involving only the epidermis, dermis, or subcutaneous tissue without deeper structure involvement. The repair should require only a simple, single-layer closure.The maximum length of the wound should be 2.5 cm or less. Hemostasis and local or topical anesthesia, if used, are not separately reported.
Example 1: A patient presents with a 2cm laceration on their upper lip from a fall.The wound is superficial, involving only the epidermis and dermis. The physician cleans the wound, performs hemostasis, and performs a simple, single-layer closure using sutures. Code 12011 is appropriate., A child suffers a 1.5cm superficial abrasion to their eyelid during a playground accident. After cleaning the wound, the physician applies tissue adhesive to close the wound.Code 12011 is appropriate., An adult sustains a 2.5cm superficial laceration to the earlobe. After cleaning and achieving hemostasis, the physician closes the wound with sutures. Code 12011 is appropriate.
** Always ensure accurate wound measurement and classification for appropriate code selection.Consider other codes for complex repairs or wounds exceeding 2.5cm in length.
- Revenue Code: P6A (Minor Procedures - Skin)
- RVU: Information not available in provided source.
- Global Days: Information not available in provided source.
- Payment Status: Active
- Modifier TC rule: Information not available in provided source.
- Fee Schedule: Information not available in provided source.
- Place of Service:Office, Emergency Room - Hospital, Ambulatory Surgical Center, Urgent Care Facility