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2025 CPT code 12021

Treatment of superficial wound dehiscence with packing.

Follow current CPT coding guidelines for wound repair and management.Pay attention to the distinction between simple, intermediate, and complex wound repair.Appropriate use of modifiers is crucial for accurate reimbursement.

Modifiers such as 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) may be applicable in certain scenarios (e.g., wound dehiscence occurring after a previous procedure).

The medical necessity for this procedure is established by the presence of a superficial wound dehiscence that requires treatment to facilitate healing. This is especially true in cases of infection or significant contamination where primary closure is not appropriate.

The physician is responsible for assessing the wound, performing debridement, irrigating the wound, packing it with gauze, and providing appropriate aftercare instructions.

IMPORTANT:For extensive or complicated secondary wound closure, use 13160.If there is no sign of infection and simple closure is performed, use 12020.

In simple words: This code covers cleaning and packing a superficial wound that has reopened after being stitched up. The doctor cleans the wound, removes any dead tissue, and then packs it with gauze to help it heal without stitches.

This CPT code describes the treatment of superficial wound dehiscence, which involves the reopening of a previously closed wound that has not healed properly.The procedure includes debridement of the wound, irrigation with an antimicrobial agent, and packing the wound with gauze.The wound is left open to allow for drainage and healing, and resuturing is not performed.

Example 1: A patient presents with a superficial wound dehiscence on their lower extremity following a previous surgical procedure. The wound shows signs of infection. The physician performs debridement, irrigation, and packing.12021 is reported., A patient with a superficial wound dehiscence on their arm following a minor trauma is seen. The wound is infected. The physician cleans, debrides, and packs the wound without attempting primary closure. 12021 is reported., A patient who had abdominal surgery three weeks ago presents with a superficial wound dehiscence near the incision site. The wound appears infected. The physician removes the sutures, cleans, debrides, and packs the wound, leaving it open for healing by secondary intention. Modifier 78 is appended to 12021.

** Accurate documentation is vital for proper reimbursement.Ensure that the documentation clearly supports the medical necessity of the procedure and the level of service provided.

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