CPT^® 13120, Under Repair-Complex Procedures on the Integumentary System

The Current Procedural Terminology (CPT^®) code 13120 as maintained by American Medical Association, is a medical procedural code under the range - Repair-Complex Procedures on the Integumentary System.

Additional/Related Information

Tabs

Summary

This is for a complex repair of a wound 1.1 to 2.5 cm in size on the scalp, arms, and/or legs.

For clinical responsibility, terminology, tips and additional info
start codify free trial.

View any code changes for 2024 as well as historical information on code creation and revision.

Crosswalks

Tabs

Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT® code.

View the CPT® code's corresponding procedural code and DRG. In a click, check the DRG's IPPS allowable, length of stay, and more. To plug inpatient facility revenue drains, subscribe to DRG Coder today.

Crosswalk to an anesthesia code and its base units, and calculate payments in a snap! Subscribe to Anesthesia Coder today.

View matching HCPCS Level II codes and their definitions.

Forum

Have a question about CPT Code 13120 ? Start a discussion here

Need CPT for scar revision forearm

Are 131__ codes still for scar revision? I'm looking at 13120 for the attached scar revision. If so, then I realize that it bundles with 26055 which is the primary CPT for this surgery. Would someone... [ Read More ]

Wound repair

Hello, I don't code much for wound repairs so need a little assistance. The wound measures 30x20 cm on the anterior portion of the lower leg, its a traumatic wound. I was leaning towards coding the 1... [ Read More ]

Pilar Cyst Excision

We had a pt that came in for removal of 2 pilar cysts on the scalp. One was located on the mid-frontal scalp & the other on the right central parietal scalp. We billed BCBSTX 11421-59, 11422, 12031 & ... [ Read More ]

adding modifiers on ASC claim

Where would you apply modifiers to these codes in the ASC setting? Only the 13132 paid. This is an Aetna claim. The denial does state the codes denied for the charges included in the contracted and/or... [ Read More ]

multiple procedures-ASC coding question ambulatory modifiers asc dermatology

ICD.10 code for draining Sinus?

I have a hard time with this also. What do you use for excision of nonhealing sinus tract? I've read some people use 13160? Or something like 13120? Any input would be appreciated!... [ Read More ]

Scar revision

[QUOTE="sxcoder1, post: 419808, member: 352061"]I've been perplexed with this scenario myself, but I think they're calling it a scar revision when they're actually removing scar tissue inside the knee... [ Read More ]

Scar revision

I've been perplexed with this scenario myself, but I think they're calling it a scar revision when they're actually removing scar tissue inside the knee joint so I'm not sure 13120 is correct. I have... [ Read More ]

Scar revision

HELP!! Is this enough for Complex repair 13120 or do need to ask for an addendum? The left knee was then opened with #10 blade. A Subvastus approach performed. There was extensive adhesions and sc... [ Read More ]

Complex Closure Vs Simple Closure closure complex derm intermediate simple

Hello, a provider is billing complex closure for this Dog Bite indicated below. CPT 13120 Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm . I feel this does not meet a complex closure,... [ Read More ]

View All