3 minutes
min read

52009 - Large Deep Wound Repair on Face or Neck

MBS service description:

SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF RECENT WOUND OF, on face or neck, large (MORE THAN 7 CM LONG), involving deeper tissue (Anaes.)
Schedule Fee:
211.4
@85% Benefit Fee:
179.7
@75% Benefit Fee:
179.7
Last updated on
March 29, 2025

When is item code 52009 (Large Deep Wound Repair on Face or Neck) typically used?

The need for repairing a large wound (over 7 cm) on the face or neck involving deeper tissues arises from severe recent injuries penetrating beyond the superficial layer into subcutaneous fat, muscle, or mucosa, requiring complex closure to restore function and prevent serious complications. These wounds—often from major trauma like car accidents, machinery injuries, or deep lacerations—pose significant risks of infection, deformity, or impaired movement if not addressed surgically under anesthesia. This procedure ensures layered repair of extensive damage, vital for maintaining facial aesthetics, speech, or swallowing in the maxillofacial region.

Conditions necessitating this repair include:

  • Severe trauma: A long slash across the face from glass can cut into muscle, risking permanent asymmetry or nerve damage without deep suturing.
  • Deep mucosal tears: An extensive intraoral wound from a fall may affect deeper tissues, impairing oral function if not properly aligned.
  • Structural integrity: Large neck wounds involving fascia or muscle need robust closure to withstand movement and prevent dehiscence.
  • Infection prevention: Extensive deep wounds in moist or exposed areas are highly susceptible to abscesses or systemic spread, especially in frail patients.

For instance, a worker with a 10 cm laceration on the neck from industrial equipment might require this repair to reattach muscle layers and avoid restricted head movement or scarring. In hospital settings, elderly patients with large wounds from falls might need this to counter poor healing due to diabetes or steroids. By addressing both surface and deep tissue, this service prevents long-term functional loss, reduces infection risk, and preserves appearance, making it critical for extensive maxillofacial injuries.

Benefits to the patient

When surgeons repair a large wound (over 7 cm) on the patient’s face or neck involving deeper tissue under anesthesia, they deliver robust benefits that ensure comprehensive recovery. A key advantage is the restoration of deep tissue function. Addressing subcutaneous layers and beyond, this procedure supports the patient’s structural integrity, preventing weaknesses that could affect facial movement or strength—vital for surgeons seeking 'deep tissue repair benefits.' It also prevents severe complications by closing the wound effectively, reducing the patient’s risk of infection or tissue breakdown over a wide area. Furthermore, it enhances cosmetic outcomes by aligning deeper tissues and skin meticulously, minimizing scarring and preserving the patient’s facial aesthetics and functionality. For surgeons researching 'large facial wound healing,' this service provides patients with strong tissue repair, complication prevention, and improved appearance, making it an essential approach for extensive, deep injuries.

Recovery considerations

Recovery of 3-4 weeks with swelling and suture care; deeper healing may extend time.

Email this page to yourself for later, and
You should receive the article link in your inbox shortly.
Oops! Something went wrong while submitting the form.
For Surgeons

Explore the full Medicare Benefits Schedule (MBS) Services and Item Codes

Not sure about what MBS Item Code you are looking for? Browse the full Schedule by treatment category.
View the full MBS Schedule
This is some text inside of a div block.
This is some text inside of a div block.
This is some text inside of a div block.
This is some text inside of a div block.
This is some text inside of a div block.
This is some text inside of a div block.
This is some text inside of a div block.
This is some text inside of a div block.
This is some text inside of a div block.