© Copyright 2026 American Medical Association. All rights reserved.
Intermediate repair of wounds located on the face, ears, eyelids, nose, lips, and/or mucous membranes involves a detailed and methodical approach to ensure proper healing and aesthetic outcomes. This procedure is indicated when the wound extends into deeper layers, such as the subcutaneous tissue and superficial fascia, or when extensive cleaning is necessary due to contamination. The process begins with the cleansing of the wound and the administration of a local anesthetic to minimize discomfort during the procedure. Following this, the wound is carefully inspected to assess its depth and the extent of any contamination. If the wound is found to be heavily contaminated, additional cleaning and removal of debris may be required. The closure of the wound is performed in layers, utilizing sutures, staples, or tissue adhesive, which helps to align the edges of the wound properly. To reduce tension on the wound during healing, tissues may be undermined using surgical instruments. Control of 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 employed. The final step involves closing the superficial layer of the wound, ensuring that the edges are aligned and everted to minimize the risk of scarring. This procedure is specifically coded as CPT® 12055 for wounds measuring between 12.6 cm and 20.0 cm, with other codes available for different wound sizes.
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