DecisionHealth, DecisionHealth - 2026 Issue 4 (April)

Q&A: Code ‘Primary’ and ‘secondary’ repairs based on acute vs. chronic injury

Question: What is the time interval between an injury, a primary repair and a secondary repair of a ligament or tendon? Is the first repair always coded as primary, and then if there’s a re-injury after several weeks it’s a secondary repair? We have seen differing guidance on this and are wondering what the time interval should be.

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