CPT® Code 12035

Intermediate repair of wounds located on the scalp, axillae, trunk, and/or extremities involves a surgical procedure designed to address wounds that penetrate deeper layers of tissue. This type of repair is indicated when the wound requires more than just simple closure, as it involves the subcutaneous tissue and superficial fascia. The procedure begins with the cleansing of the wound area, followed by the administration of a local anesthetic to ensure patient comfort during the repair process. The surgeon inspects the wound to assess its depth and extent, particularly if it is heavily contaminated, which may necessitate extensive cleaning or removal of debris. The closure technique employed is layered, utilizing sutures, staples, or tissue adhesive to secure the wound edges. To minimize tension on the wound, the tissues may be undermined using surgical instruments such as scissors or a scalpel. Control of any bleeding is achieved through chemical means or electrocautery. The deepest layers of the wound are typically closed with absorbable sutures, with the knots buried to prevent irritation. In some cases, permanent sutures may be used instead. The final step involves closing the superficial layer of the wound, ensuring that the edges are properly aligned and everted to promote optimal healing and minimize scarring.