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12042 Intmd repair n-hf/genit2.6-7.5

Surgery Global 10d

Also known as: Intermediate laceration repair, Layered wound closure

Repair of intermediate complexity laceration on the neck, non-head/non-foot genitalia measuring two point six to seven point five centimeters.

In Plain Language

Multi-layer stitching of small to medium cut on neck or genitalia; Intermediate wound closure

Clinical Context

Used for small to medium lacerations on the neck or genitalia requiring layered closure.

RVU Breakdown

Work RVU2.72
Total RVU2.72

Est. Medicare Payment

$90.85

National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).

Billing & Documentation

As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 10-day global period — follow-up visits within 10 days of the procedure are included in the reimbursement. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.

How This Code Compares

With a work RVU of 2.72, this code ranks in the 19th percentile among Surgery codes — 2.9x below the median (8.00). The highest wRVU in this category is 106.19.

Specialties

General SurgeryEmergency Medicine

Frequently Asked Questions

What is CPT code 12042?

CPT 12042 (Intmd repair n-hf/genit2.6-7.5) is a Surgery code. Repair of intermediate complexity laceration on the neck, non-head/non-foot genitalia measuring two point six to seven point five centimeters.

What is the wRVU value for CPT 12042?

The work RVU for CPT 12042 is 2.72. This code is primarily used by General Surgery, Emergency Medicine. It has a 10-day global period.

When is CPT 12042 used?

Used for small to medium lacerations on the neck or genitalia requiring layered closure.

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.