Trimming of Nails in a Diabetic patient

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Darlington, SC
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Hi all! I need help coding the following scenario: The patient is a Type 2 diabetic with diagnosis of L60.8-other nail disorders. 8/10 very thick, discolored, and long curving under the toes and into adjacent toes. Sore toes from thick nails pushing down. Large cutting tool used to trim nails after each toe cleaned with alcohol. No bleed noted and patient was able to wear shoes better. I coded it as 11719 and received a denial. What do ya'll think? Should it be coded as 11721? Any help would be appreciated!!
 
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