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10061 vs 11720

  1. #1
    Question 10061 vs 11720
    Medical Coding Books
    The doctor is billing with cpt 10061; we are inclined to code with 11720; any additional feedback will help

    OPERATION PERFORMED: Incision and drainage of abscess, bilateral great toes, the phenol matrixectomy of bilateral hallux nail plates.

    Attention was directed to the left great toe where using a hemostat, the medial and lateral nail borders were completed exposed. Next, using a nail clipper, the medial and lateral nail corners were each cut, exposing 4 mm of the patient's nailbed in both the medial and lateral nail borders. Next, using a curette, the nail borders were cleaned of any callous tissue. The area was then dried using Q-Tips. Phenol was applied to the medial and lateral nail borders of the left great toe. It was then irrigated with alcohol. A dry sterile dressing was applied. The tourniquet was removed. Immediate hyperemia was noted to the left great toe.

  2. #2
    per the CPT code book, under the heading "Nails" it does state "for drainage see codes 10060-10061" however, that being said, I think that 11750 is the more appropriate code due to the phenol matrixectomy.

  3. #3
    Default 11750
    I Agree Only 11750 Is Reportable Rest Are Inclusive To This.


    Hadi .
    Mohd Ali Hadi- CPC-H

  4. Arrow
    11750 is only reportable here.

    Thank You
    Amit Joshi MSc,CPC,CPC-H

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