Wiki 10061 vs 11720

elenax

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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.
 
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.
 
11750

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

Thanks!

Hadi .
 
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