tci General Surgery Coding Alert - 2019 Issue 2

Reader Question: Toenail Matrix Drives Code Choice

Question: A patient presented with a big toenail that was torn almost completely away from the toe in an injury. The surgeon 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? Indiana 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 op note mentions removal to the nail matrix, you should not...

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