toenail removal

ggparker14

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Procedure: Digital block with local augmenation with 0.5% bupivacaine 5 with s/epi. Lateral edge of nail undermined and freed from nail bed. Eponychial fold undermined and freed from nail. Nail incised vertically with scissors. Approximately 4 mm-wide naile edge removed with hemostat.


Would 11730 or 11750 be the correct code for this procedure?

I & D also performed. Is this billable with the toenail removal procedure?


Thanks for any help.
 

dclark7

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11730 is more appropriate. 11750 is for permanent removal and your note does not give any indication that this was permanent. Check with the insurance company on whether I&D is also billable. I know for NGS J13 it is not based on their LCD for I&D procedures.
 

ollielooya

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just starting to enter the field of podiatry so bear that in mind. After review I tend to agree with Doreen's entry, the code 11730 more aptly describes the procedure done based on my Coder's Desk Reference. Also I ran the I&D thru a new coding program we're trying out and our MCR carrier does allow I&D with this code, but a modifier will be needed depending on the total description of the chart notes. But this is an educated guess on my part and hopefully you'll get more answers.
 
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