tci ED Coding & Reimbursement Alert - 2023 Issue Q2

Reader Questions: Use Modifiers to Nail Debridement/Avulsion Coding

Question: When the provider performs nail debridement or avulsion, how do I code for it? Does it matter if the provider treats fingernails or toenails, from a coding perspective? Georgia Subscriber Answer: You’ll choose from the following codes for nail debridement or avulsion, depending on encounter specifics: 11720 (Debridement of nail(s) by any method(s) 1 to 5) 11721 (… 6 or more) 11730 (Avulsion of nail plate, partial or complete, simple; single) +11730 (… each additional nail plate (List separately in addition to code for primary procedure)) Modifier alert: Depending on the anatomy of the debridement/ avulsion, use...

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