Wiki Help me to code the CPT for this procedure

Ravikirann

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Hi All,

The below mentioned OT notes was encountered by me in my hospital, as per my knowledge this not wedge excision, but doctor claiming this as- total removal of the right big toenail, and ablation of the edges of nailbed. What cpt code we can charge for this procedure.

OT NOTES:
The skin incision is made at the 2 angles of the toenail below the nail margins.
A rectangular flap of nail fold was reflected back, and the nail is avulsed.
The proximal part of the nail bed, which correspond to the extent of the lanula ,
is then excised down to the bone.
The flap is replaced and anchored by stitches at each side.

Thanks
Ravi
 
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