2025 CPT code 13102
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Integumentary System Surgery Feed
Complex repair of each additional 5 cm or less of a wound to the trunk. This CPT code is an add-on code and must be used with the primary procedure code (13101).
Modifier -59 (Distinct Procedural Service) may be used for additional units of 13102 if the additional repairs are distinctly separate from the initial repair.
Medical necessity is established by the nature and extent of the wound and the need for complex repair to achieve proper wound healing.The documentation should clearly demonstrate the clinical need for the procedures.
The physician performs a complex repair, involving layered closure and potentially additional procedures like extensive undermining, stents, or retention sutures. This may also include debridement of complicated lacerations or avulsions.
In simple words: This code is for extra charges when a doctor fixes a large wound on your torso (chest, back, abdomen).It's only added to the bill if the wound is already bigger than about 7.5 centimeters (3 inches), and the doctor fixes extra sections of it.
This code reports the complex repair of each additional 5 cm or less of a wound to the trunk.It is an add-on code, meaning it must be reported in addition to the primary procedure code (13101) for the initial complex trunk wound repair exceeding 7.5 cm.The complex repair includes layered closure with elements such as extensive undermining, stents, or retention sutures.Preparation may include creating a defect for repair (e.g., scar excision) or debridement of complicated lacerations or avulsions. This code does not include excision of lesions (benign or malignant) or debridement of open fractures/dislocations.
Example 1: A patient presents with a 15 cm laceration to the abdomen requiring extensive debridement and complex closure.Codes 13101 and 13102 would be used (13101 for the initial 7.5cm, and 13102 for the additional 7.5cm)., A patient has a 12 cm complex wound repair on the back requiring multiple layers of closure, undermining and retention sutures.The physician would report 13101 and 13102., A patient sustained a 20cm laceration to the chest with significant tissue damage. The wound required extensive debridement and meticulous layered closure with retention sutures. Codes 13101 and multiple units of 13102 would be reported, with modifier -59 used for each additional unit of 13102 beyond the first to indicate distinct procedural services.
** Always refer to the most up-to-date CPT manual and payer guidelines for complete coding instructions and reimbursement policies.Specific documentation requirements may vary by payer.
- Revenue Code: P6B (Minor Procedures - Musculoskeletal)
- RVU: This information varies by payer and location. Consult your local fee schedule for current RVU values.
- Global Days: The global period is determined by the primary procedure code (13101) and the payer's guidelines.
- Payment Status: Active
- Modifier TC rule: Not applicable.This code does not represent a technical component.
- Fee Schedule: Historical fee schedule information is not available from this source. Consult your local fee schedule for details.
- Specialties:General Surgery, Plastic Surgery
- Place of Service:Office, Ambulatory Surgical Center, Hospital Inpatient, Hospital Outpatient