tci General Surgery Coding Alert - 2020 Issue Q3

You Be the Coder: Focus on Nail Matrix for Code Selection

Question: Our surgeon treated a patient in the office whose big toenail was almost completely torn off in an injury. The surgeon established a digital block, then removed the entire nail to the matrix. Is 11750 the best code in this case due to removal to the matrix? Should I code the block separately? Illinois Subscriber Answer: No, you shouldn’t code 11750 (Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal) in this case, even though the procedure note documents removal to the nail matrix. The 11750 procedure involves intentional...

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