CPT Coding for Discontinued Laceration Repair: Modifier 52 Application

For a 2-inch laceration repair on the right foot discontinued due to near-syncope:

  • Base code: 12002 (simple repair, scalp/neck/axilla/extremity/trunk, 2.6–7.5 cm). Note: 12020 is for 2.5 cm or less.
  • Modifier: Append -52 (Reduced Services) to indicate the procedure was started but not completed.
  • Documentation must include: reason for discontinuation (near-syncope), portion completed, patient condition, plan for completion.

Alternative

If the wound was only explored/cleaned without closure, consider 12001-52 (≤2.5 cm) or 12002-52 plus separate E/M for the syncope workup.

Billing Note

Do not bill the full code without -52; it implies completed service and risks audit denial.

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