Question 11730 or 11750

bharathiT

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Anesthesia: The patient was injected with 5 mLs of 0.5% Marcaine plain.
Prep: The site was prepped with Betadine under sterile conditions.
Right Foot: 1st toe: , entire toenail was removed.
Dressing: a sterile compression dressing was applied.
Patient Status: the patient tolerated the procedure well.

Which CPT will code this case?
11730(Avulsion of nail plate, partial or complete, simple; single)
11750(Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal)

Kindly clarify
 

jademound

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The provider doesn't state that they nail matrix was removed, which is what makes it a permanent removal. You can either query the physician to clarify if the removal was a permanent removal or you can go with the 11730. As the documentation stands, 11730 is the correct code.
 
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