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need suggestions quickly please

scooter1

Expert
Messages
397
Location
Winter Springs, FL
Best answers
0
need suggestions please

Patient has a crush injury to his thumb that occured Sept last year. Fracture and partial amputation. Came to us today and has a
piece of the fingernail that is embedded in the thumb and also an inclusion cyst. Doctor is going to excise the imbedded sliver of
fingernail and excise the inclusion cyst.. Need to get approval from the insurance for surgery, but unsure the direction of coding. Of course no operative report as yet, so I am trying to come up with codes as close as I can for the approval.

I am thinking 10120 and 11421 with a possible closure procedure. But I need to know if I am on the right track.
Please help,
Thank you
 
Last edited:

purplescarf23

Networker
Messages
98
Best answers
0
I would look at 11750 for the nail removal. I would agree with your area for the cyst removal as long as the size is documented in the report. Hope that helps.

11750-Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal

Kelsey, CPC
 
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