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Nail removal and wart treatment

  1. #1
    Default Nail removal and wart treatment
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    Our patient came in with a wart under the fingernail. The doctor had to remove the nail to treat the wart. I don't think that we code the nail removal, but can't find any guidelines for this situation. Can anyone help with this?

  2. #2
    Default Prolonged
    In considering how to code this, would it be appropriate to code it as a prolonged service? Basically the provider had to expend greater time and effort to affect the wart removal. If that is the case, prolonged service codes mght be appropriate?

  3. #3
    Default
    You are saying prolonged services which are for E/M codes. Do you mean modifier 22 for increased procedural services?

  4. #4
    Default
    If the procedure performed is nail removal for any cause whatsoever - code nail removal. If it is more than what it takes in a normal scenario, append modifier 22.

    HTH.
    Girish Dadhich, CPC

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