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Billing and Coding: Surgical Treatment of Nails - Centers Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'.This can arise The following surgical procedures represent the options used to treat a complicated/symptomatic ingrown nail(s): Avulsion of a nail (CPT codes 11730 and 11732) involving separation and removal of the entire nail plate or a portion of nail plate (including the entire length of the nail border to and under the eponychium). CPT Please visit the, Chapter 23, Section 20.9 National Correct Coding Initiative (CCI), Chapter 1, General Correct Coding Policies for National Correct Coding Initiative Policy Manual for Medicare Services, Chapter 3, Surgery: Integumentary System CPT codes 10000-19999 For National Correct Coding Initiative Policy Manual for Medicare Services. This page displays your requested Article. Crushing injuries of the fingers. If this is your first visit, be sure to check out the. Trimming of ingrown toenail | Medical Billing and Coding Reporting CPT code 11750 (excision) with CPT code 11765 (wedge resection) for the same digit on the same DOS is not correct coding.CPT code 11765 requires an excision of a wedge of the skin of the nail fold from the involved side of the toe. License to use CPT for any use not authorized herein must be obtained through the AMA, CPT Intellectual Property Services, AMA Plaza 330 N. Wabash Ave., Suite 39300, Chicago, IL 60611-5885. For every subsequent avulsion, CPT 11732 is reported as the add-on code with one UOS and the appropriate identifying digit modifier appended. recommending their use. WebAvulsion of a nail plate (CPT codes 11730 and 11732) is, generally, performed under local anesthesia. Routine foot care is covered only when certain systemic conditions are present. Providers are reminded to refer to the long descriptors of the CPT codes in their CPT book. authorized with an express license from the American Hospital Association. Medicaid and the State Children's Health Insurance Programs, contracts with certain organizations to assist in the administration Documentation supporting the medical necessity should be legible, maintained in the patients medical record and made available to Medicare upon request. Ingrown toenail surgery is a relatively minor outpatient procedure to remove part of an ingrown toenail and to kill the portion of the nail matrix from which it grows. Documentation Requirements. If a tourniquet is used, it should be removed as soon All Rights Reserved. endstream endobj 847 0 obj <>/Metadata 75 0 R/OCProperties<>/OCGs[875 0 R]>>/Outlines 84 0 R/PageLayout/SinglePage/Pages 839 0 R/StructTreeRoot 139 0 R/Type/Catalog>> endobj 848 0 obj <>/ExtGState<>/Font<>/Pattern<>/Properties<>/XObject<>>>/Rotate 0/StructParents 0/Type/Page>> endobj 849 0 obj <>stream Sign up to get the latest information about your choice of CMS topics in your inbox.