2025 CPT code 13100
Effective Date: N/A Surgery - Surgical Procedures on the Integumentary System Feed
Complex repair of a wound on the trunk, measuring 1.1 cm to 2.5 cm.
Modifiers may be applicable. Modifier 59 may be used to indicate a distinct procedural service when performing multiple wound repairs of different complexities.
Medical necessity must be established based on the nature and extent of the wound, the depth of tissue involvement, the presence of contamination, any associated injuries (e.g. exposed tendons), and the potential for complications.
The physician performs a complex, multilayered closure of a wound to the trunk. This procedure goes beyond simple layered closure and involves elements such as extensive undermining, stents, or retained sutures. Preparation may include creating a defect for repair (e.g., excising a scar) or debriding complicated lacerations or avulsions.
In simple words: This procedure closes a complicated wound on the torso area, between 1.1 and 2.5 centimeters in size. The doctor stitches together multiple layers of tissue beneath the skin, sometimes including deeper structures.The wound may be very dirty, require removal of damaged tissue, or need special stitches to hold it together.
Complex repair of a wound on the trunk, measuring 1.1 cm to 2.5 cm. This includes layered closure of one or more of the deeper layers of subcutaneous tissue and superficial (non-muscle) fascia, in addition to skin closure.It may involve exposure of bone, cartilage, tendon, or named neurovascular structure; debridement of wound edges; extensive undermining; or placement of retention sutures.
Example 1: A patient presents with a deep laceration on their back, 1.5 cm in length, sustained during a fall. The wound is contaminated with debris and requires debridement before closure using a multi-layered technique with retention sutures., A patient has a 2 cm wide excision of a scar on their chest. The resulting defect requires complex closure with extensive undermining to minimize tension on the wound edges., A patient with a 1.2 cm laceration on their abdomen, involving the exposure of underlying fascia, requires a complex repair involving layered closure and placement of a drain.
Documentation should include the location and size of the wound, the depth and complexity of the repair, any debridement performed, the type of closure (e.g., layered, retention sutures), and any associated complications or procedures (e.g., nerve repair).
- Revenue Code: P6A
- Specialties:General Surgery, Plastic Surgery, Emergency Medicine, Dermatology
- Place of Service:Office, Home, Outpatient Hospital, Ambulatory Surgical Center, Inpatient Hospital, Emergency Room – Hospital,Military Treatment Facility