If it was enough of a procedure that you think it's medically necessary to use a CPT code, then I think 11719 is as close as it gets. I don't see any other codes that would be better. If you aren't comfortable just coding the E/M, then I concur.
Quote from the internet: "the ACFAS guideline the slant back would not be considered a partial nail avulsion as per my post above, and therefore would fall under the category of "palliative" care. If you read the true guidelines for Medicare in PA (HGSA), in order to bill for 11730 anesthesia must be used and a simple slant back is not considered an avulsion. The nail must be taken below the eponychium."
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