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Z97.12

Billable

Presence of artificial left arm (complete) (partial)

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A patient has an artificial left arm prosthetic, which may be a complete arm replacement or a partial prosthetic.

Coding Tips

  • Specify in documentation whether the prosthetic is complete (entire arm) or partial (forearm, hand, etc.) for clarity
  • Use this code for status documentation; pair with other codes if there are complications or fitting issues

Code Hierarchy

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