10061 vs 11720

elenax

Expert
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330
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Stuart
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The doctor is billing with cpt 10061; we are inclined to code with 11720; any additional feedback will help :confused:

OPERATION PERFORMED: Incision and drainage of abscess, bilateral great toes, the phenol matrixectomy of bilateral hallux nail plates.

Attention was directed to the left great toe where using a hemostat, the medial and lateral nail borders were completed exposed. Next, using a nail clipper, the medial and lateral nail corners were each cut, exposing 4 mm of the patient's nailbed in both the medial and lateral nail borders. Next, using a curette, the nail borders were cleaned of any callous tissue. The area was then dried using Q-Tips. Phenol was applied to the medial and lateral nail borders of the left great toe. It was then irrigated with alcohol. A dry sterile dressing was applied. The tourniquet was removed. Immediate hyperemia was noted to the left great toe.
 

mbort

True Blue
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2,338
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ENGLEWOOD/DENVER
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per the CPT code book, under the heading "Nails" it does state "for drainage see codes 10060-10061" however, that being said, I think that 11750 is the more appropriate code due to the phenol matrixectomy.
 

haadi

Networker
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11750

I Agree Only 11750 Is Reportable Rest Are Inclusive To This.

Thanks!

Hadi .
 
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