Wiki please help toe amputation

[codedog]

Need someone to look at this .

POSTOPERATIVE DIAGNOSIS: Ischemic necrosis of the tip of the left fourth toe.

PROCEDURE PERFORMED: Amputation of the distal portion of the left fourth toe at the base of toenail.

PROCEDURE IN DETAIL: Following informed consent, the patient was brought to the Operating Room and remained on the operative roller. Following induction of intravenous sedation, the foot was prepped and draped. Local anesthetic is infiltrated in a regional block. A#15 blade was used to excise the distal portion of the left fourth toe, which is nonviable. This is easily removed. No open wound is present as this was in the process of toe amputating. Irrigation of antibiotic solution is followed by dressing the toe and the patient was moved from the Operating Room to Recovery in good condition.

Any thoughts or ideas on how to code this procedure?

Thank you in advance for all your help and time with this matter.

 

[phammers66]

11752 Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal; with amputation of tuft of distal phalanx

Use this code to report amputation of distal tuft of phalanges or terminal Syme amputation of the toe.

This information was posted by Maryann C. Palmeter, CPC, CENTC in the AAPC forums in 2013... she had over 29 years of exp at the time of the post.

Found several posts and they all seemed to point to 11752 for the distal tuft amputation.

Hopefully this is what you are looking for....