tci ED Coding & Reimbursement Alert - 2019 Issue 3

Reader Question: Evaluate Nail Avulsion Codes

Question: A patient presented with a big toenail that was torn almost completely away from the toe in an injury. The physician performed a digital block and removed the entire nail to the matrix. Would this be considered a simple, complete removal or a 11750 service, and should we bill separately for the block? SuperCoder subscriber Answer: What you describe is a complete, simple nail removal, so you should report the service as 11730 (Avulsion of nail plate, partial or complete, simple; single). Despite the fact that the procedure note mentions removal to the nail matrix, you should not...

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