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Billing 11750 When mulitple nails are removed

  1. #1
    Question Billing 11750 When mulitple nails are removed
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    I have a patient who had all five toe nails on the right foot including the matrix removed, and the great toenail on the left foot. Can I bill this procedure with six units if I use the proper modifiers indicating which toes or should I bill each out seperately or can I only bill the 11750 once using all the necessary modifiers? Thanks for the help

  2. #2
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    Quote Originally Posted by rogers View Post
    I have a patient who had all five toe nails on the right foot including the matrix removed, and the great toenail on the left foot. Can I bill this procedure with six units if I use the proper modifiers indicating which toes or should I bill each out seperately or can I only bill the 11750 once using all the necessary modifiers? Thanks for the help
    This was posted long time ago.

    cgallimore
    Networker Join Date: Apr 2007
    Location: High Point, NC
    Posts: 80


    Reply for CPT 11750

    --------------------------------------------------------------------------------

    I code for 3 podiatrists. You would use CPT 11750 only once per digit. CPT 11750 "may only be reported once per digit. A partial excision, even when the partial excision requires two incisions (medial & lateral aspects), of the nail does not count as two separate procedures." Excerpt from the Ingenix Coding Companion for Podiatry. This CPT also includes the destruction of the nail matrix for permanent removal.

    I hope this helps.

    Cindy Gallimore, CPC

  3. #3
    Location
    Columbia, MO
    Posts
    12,570
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    You have to bill each one separate as you are allowed only one toe modifier per line item.

    Debra A. Mitchell, MSPH, CPC-H

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