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Wiki excision of nail spicule

rleif1sun

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Monroe, NY
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provider performed excision of offending right distal nail spicule. what is correct CPT code?
 
First visit for condition, bill appropriate e&m with 25 modifier and 11719 for the nail,if it was dystrophy or fungal,11720. A lot of payers will not reimburse for the nail.
 
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