tci Part B Insider - 2011 Issue 5

Reader Questions: Look to 11750 for Ingrown Toenail Removal

Question: A patient presents for a follow-up of an ingrown toenail. The physician finds that the patient now has two ingrown toenails -- one on each foot. The physician removes both from each toe and also does a silver nitrate cauterization. Should I report 99212-25?Answer: Yes. Besides coding 99212-25, you should bill 11750 (Excision of nail and nail matrix, partial or complete [e.g., ingrown or deformed nail], for permanent removal) appended by modifier 50 (Bilateral procedure).Logic for E/M: Because the diagnosis is new to one toe, you could justify 99212 (Office or other outpatient visit for...

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