tci ED Coding & Reimbursement Alert - 2004 Issue 8

You Be The Coder: Difficulty Determines Laceration Code

Question: A patient came in with a laceration of the finger and nail bed. The physician removed the nail plate and performed a nail bed repair, and then performed another 2.5-cm suture to the length of the finger (it was all one laceration). How should Icode this? Tennessee Subscriber Answer: For the avulsion of the nail itself, consider code 11730 (Avulsion of nail plate, partial or complete, simple; single), depending on your carrier's policy. Most payers feel that the removal of the nail is a component of the nail bed repair. For the nail bed repair, you should...

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