Wiki nail bed injury procedures

ggparker14

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Can I please get help with procedure code(s) for the following procedure(s)?

Procedure: Nerve Block, Nail Trephination, nail Bed Reconstruction with suture

The patient's thumbnail was carefully lifted from the bed with copious irrigation of nail bed and thorough inspection. No FB visualized, no lacerations visualized. Nail was then trephinated with cautery kife and placed back into place with the nail bed. A 3-0 nylon monofilament suture was then placed through the trephinated hole at the medial-inferior edge of nailbed, and sutured into place. Patient's thummbnail was then covered with bacitracin adn strile gauze, wrapped in ace bandage for further support.

Thank you for any help.
 
Ouch

I think you are looking at a 11760. Nerve block and simple suturing are included in the procedure. 11762 if actual nail bed repair but that doesn't seem to be the case here. Also an E&M if documentation to support it.

Jim
 
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