CPT^® 11755, Under Surgical Procedures on the Nails

The Current Procedural Terminology (CPT^®) code 11755 as maintained by American Medical Association, is a medical procedural code under the range - Surgical Procedures on the Nails.

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Summary

This procedural code is used when the physician biopsies the nail plate, bed, hyponychium, proximal nail folds, or lateral nail folds. Each one is a separate procedure.

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Modifier

CPT -11755(Biopsy of nail unit (eg, plate, bed, matrix, hyponychium, proximal and lateral nail folds) When code this procedure want to add toe modifier(TA,..T9) for site specification.... [ Read More ]

Denial 11755 modifer issue Cross Posted

[b]Modifier for 11755[/b] [QUOTE="CatchTheWind, post: 446208, member: 245466"]The 99213 gets modifier 25, and there is no modifier on the 11755. So the payer seems to be incorrect, and you'll have t... [ Read More ]

Denial 11755 modifer issue Cross Posted

The 99213 gets modifier 25, and there is no modifier on the 11755. So the payer seems to be incorrect, and you'll have to escalate it to a higher level. However, do be aware that 11755 can only be u... [ Read More ]

HELP 11755 denied for wrong modifer-Nail Bx Dermatology

[b]11755 modifier[/b] [QUOTE="LBernat7, post: 446130, member: 254762"]We have gotten a denial from IBC 2 times now for "wrong modifier" on 11755 billed charges were 99213 OV for Full Skin HX of MM et... [ Read More ]

Denial 11755 modifer issue Cross Posted 11755 biopsy dermatology nail biopsy

I also posted this in the modifier forum but here is the issue patient was seen for a full skin with hx etc 99213 it was paid the second item on there was 11755 a bx of the nail it was denied for inc... [ Read More ]

HELP 11755 denied for wrong modifer-Nail Bx Dermatology biopsy cpt 11755 dermatology modifers nail

We have gotten a denial from IBC 2 times now for "wrong modifier" on 11755 billed charges were 99213 OV for Full Skin HX of MM etc 25 modifier(went thru and paid) 11755-bx of nail (billed with 59 modi... [ Read More ]

11755 Biopsy of Nail

Hi, My physician has performed Biopsy of Nail on separate locations. Should this be sent on separate lines or as 2 units? I cannot find this information... Thanks, Dana... [ Read More ]

nail bed injury procedures - lacerations visualized

[b]Cpt 11730-51 billed with cpt 11755-no mod, please help me understand[/b] My Employer wants to bill the claim out this way. It always gets denied for bundling. The rep from the Insurance said if I ... [ Read More ]

subungual tumor excision

Need help with a cpt code(s)! If anyone has some input that would be great. Preop dx: RT index finger subungual tumor Postop dx: Granuloma w/ foreign body Proc: 1. Excision of RT subungual tumor w... [ Read More ]

nail bed injury procedures - lacerations visualized

I'm not sure but I would consider 11730 & 11760. I'm probably wrong but I can't find a code for Nail Trephination. But it seem's like avulsion of nail plate was done. Nail Procedure CPT Codes Trim... [ Read More ]

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