What is the appropriate CPT (Current Procedural Terminology) code for a small superficial laceration repair on a finger?

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From the Research

The appropriate CPT code for a small superficial laceration repair on a finger is 12001, as it specifically covers simple repair of superficial wounds involving the epidermis, dermis, and/or subcutaneous tissues of the fingers, measuring 2.5 cm or less in length 1. When documenting this procedure, it's essential to note the exact length of the laceration, the anatomical location (which finger and which hand), the depth of the wound, and the technique used for closure (such as simple interrupted sutures). The repair typically involves cleansing the wound, administering local anesthesia if needed, and closing with sutures, adhesive strips, or tissue adhesive.

Some key points to consider in the management of small superficial lacerations on the finger include:

  • The use of local anesthesia, such as lidocaine-adrenaline-tetracaine gel, which has been shown to be effective in providing anesthesia for finger lacerations, especially on the dorsal surface 2.
  • The importance of proper wound irrigation, which can be done with potable tap water, as it does not increase the risk of wound infection compared to sterile saline 3.
  • The choice of closure method, which may include sutures, tissue adhesives, or skin-closure tapes, depending on the location and tension of the wound 1.
  • The need for follow-up care, including monitoring for signs of infection and removing sutures at the appropriate time, which depends on the location of the wound 3.

It's crucial to remember that proper documentation of wound characteristics and repair method is essential for accurate coding and reimbursement. If the laceration is deeper or more complex, different CPT codes would apply, and consultation with a specialist may be necessary for advanced laceration management 4.

References

Research

Essentials of skin laceration repair.

American family physician, 2008

Research

Laceration Repair: A Practical Approach.

American family physician, 2017

Research

Advanced laceration management.

Emergency medicine clinics of North America, 2007

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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