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Pulling out nails

  1. #1
    Location
    First Hill, Seattle WA
    Posts
    65
    Default Pulling out nails
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    Does any one have any suggestion on what procedural code can be used if the doctor pulled out a damaged toe nail? No cutting involved.

  2. Default
    11750 Excision of nail plate and Matrix-Partial
    11752 " " complete

  3. #3
    Location
    North Carolina
    Posts
    3,126
    Default
    11730?

    Part or all of one nail plate is removed or avulsed in this procedure, which may require local anesthesia. For total nail avulsion, an elevator is placed under the proximal nail fold and pushed in a back and forth motion to separate it totally from the underlying nail plate. The elevator is removed and then inserted under the proximal end of the nail using a similar action to separate it from the nail bed. The loosened nail is lifted, one end is grasped with a hemostat, and, using a side-to-side rolling action, the nail is removed.

  4. Smile Cpc
    I agree with Rebecca. Avulsion does not involve exicision. 11730 is the correct code and 11732 for each add'l nail plate. It's usually used with injured nails.

    Wanda

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