tci ED Coding & Reimbursement Alert - 2010 Issue 11

Reader Questions: Observe trephination rules or end up with claim rejection

Question: A patient reports to the ED with blood and pus under his left third and fourth digit toenails. The physician performs simple avulsion on each toe, and uses cautery to control bleeding. Notes indicate a level-two E/M service. Can I code the trephination separately for each nail?Pennsylvania SubscriberAnswer: You cannot code trephination for either repair, though you will be able to submit a CPT code for each avulsion. On the claim, report the following:11730 (Avulsion of nail plate, partial or complete, simple; single) for the first avulsion+11732 (... each additional nail plate [List separately in addition to...

To read the full article, sign in and subscribe to tci ED Coding & Reimbursement Alert.


You have ED coding questions, and we deliver money-in-the-bank answers to help you defeat your claim issues and secure optimal reimbursement.

Stay in the know and avoid federal reproach with your subscription to TCI’s ED Coding and Reimbursement Alert.

  • Current newsletters added each month
  • Fully searchable archives - over 2100 articles
  • ALL years/issues back to 1998 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci ED Coding & Reimbursement Alert +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.