tci ED Coding & Reimbursement Alert - 2016 Issue 4

You Be the Coder: Nail It Down Or Sew It Up? How Do You Code an injury to the Fingernail Area?

Question: Should I report this as a nailbed repair or use a laceration repair code? Patient presents with an injury of 1.5cm involving the nail bed with a jagged laceration to dorsal aspect of distal phalanx of right index finger. Skin/tissue flap noted. Distal neuro/vascular/tendon intact. Anesthesia: Digital block administered with 4 mls of 1% lidocaine. Wound prep: Extensive irrigation and exploration of the wound. Moderate cleansing with Betadine, Subungal hematoma is drained. Nail avulsed fully and removed. Closed with 8 5-0 chromic and nail bed repaired, nail reattached and tacked down with 2) 5-0 vicryl sutures. Dressed...

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