Interstrand crosslinks (ICLs) are highly toxic DNA lesions that block transcription and replication by preventing strand separation. ICL-inducing agents were among the earliest, and are still the most widely used, forms of chemotherapeutic drugs. Owing to the repair of DNA ICLs, the therapeutic efficacy of the DNA crosslinking agents is often set back by the development of chemoresistance in patients. Thus, it is very important to understand how various DNA ICLs are repaired. Such studies are currently hampered by the lack of an analytical method for monitoring directly the repair of DNA ICLs in cells. Here we report an HPLC coupled with tandem mass spectrometry (LC-MS/MS) method, together with the isotope dilution technique, for assessing the repair of 8-methoxypsoralen (8-MOP)-induced DNA ICL, as well as monoadducts (MAs), in cultured mammalian cells. We found that, while there were substantial decreases in the levels of ICL and MAs in repair-competent cells at 24 hr after 8-MOP/UVA treatment, there were little repair of 8-MOP-ICL and MAs in XPA-deficient human skin fibroblasts and ERCC1-deficient Chinese hamster ovary (CHO) cells over a 24-hr period. This result provided unequivocal evidence to support that the 8-MOP photoadducts are substrates for nucleotide excision repair (NER) in mammalian cells. This is one of the first few reports about the application of LC-MS/MS for assessing the repair of DNA ICLs. The analytical method developed here, when combined with genetic manipulation, will also facilitate the assessment about the roles of other DNA repair pathways in removing these DNA lesions, and the method can also be generally applicable for investigating the repair of other types of DNA ICLs in mammalian cells.