tci ED Coding & Reimbursement Alert - 2009 Issue 9

Nail Toe Repair Claims by IDing Treatment Type

Beware: Fluid evacuation bundled into most other toenail procedures. Barefoot summer days are supposed to salve the soul, but they often end in ED presentations for foot injuries. Check out these case studies for clues on coding common ED foot procedures. Case: Drilling to Treat Crushed Toe Patients who report to the ED with toe crush injuries might require trephination to release blood (or fluid) from beneath the nail. When the ED physician performs only trephination, report 11740 (Evacuation of subungal hematoma) for the encounter, confirms John F. Bishop, PA-C, CPC, president of Bishop & Associates Inc. in Tampa...

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