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Wiki Complex Repair of Arm using Add-On Code

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marysaxon

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I'm coding complex repair of the arm and the amount of area that has been repaired is 26 cm and wasn't sure if I would code that as: 13121, 13122 x 5 units or would I use the add-on code 13122 (ea additional 5 cm or less) 5 different times? The insurance company is United HealthCare.

Thanks!
 
Complex Arm Repair with Add-on

You would code 13121 with the add-on code, 13122 x4. The 13121 includes a 7.5 cm measurement. 13122 x4 will give you the additional cm you need for the full length of the physician's repair.

Torilinne
CPC, CGIC
 
Duplicate Post

This question was also posted in at least one other forum thread. I answered it there.

You use the term "area" and then say it measured 26 cm. AREA is reported in sq cm (length x width). Repairs are based only on length. Torilinne's figures are correct If ... Big, Red IF ... the LENGTH of the repair was 26 cm.

F Tessa Bartels, CPC, CEMC
 
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