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Complex Repair of Arm using Add-On Code

  1. Question Complex Repair of Arm using Add-On Code
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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.


  2. #2
    Default 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.


  3. #3
    Milwaukee WI
    Default 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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