AAPC - Back to school
Results 1 to 3 of 3

Thread: terminal syme amputation

  1. #1

    Default terminal syme amputation

    AAPC: Back to School
    Hello all,

    terminal syme amputation of the distal portion of the hallux

    since the amputation was not at the joint, just 11752 or more like 28124?


  2. #2


    Hi Jamie
    I am working on the exact same type of surgery!

    11752 The nail matrixectomy w/tuft is soft tissue only and no bone involved.
    28124 Partial excision of the phalanx would leave some in place; also not appropriate.
    28825 is full or partial removal of the toe at the IPJ so this would be the appropriate code.

    "A terminal Syme amputation of part of the last bone of the toe (distal phalanx) is done via an elliptical incision and involves resection of the toenail, nail bed, and approximately half of the distal phalanx, usually of the great toe. After the initial skin incision, the flexor and extensor tendons on the part of the distal phalanx closest to the body (proximal distal phalanx) are left intact if possible. Nerves and vessels are clamped off or tied, and the bone is shortened and contoured smoothly part-way along the distal phalanx. The nail bed including the toenail is removed. The wound is closed by placing the skin flap over the stump and suturing the skin."

  3. #3
    Join Date
    Apr 2007
    Bangor, Maine

    Default late follow up on terminal some amputation

    I often find these old threads very helpful for my current questions, as I am sure others do... As an FYI to others, The instructions under 28825 direct "(For amputation of tuft of distal phalanx, use 11752.)

    11752 currently reads: Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal; with amputation of tuft of distal phalanx .

Similar Threads

  1. removal of terminal ileum
    By R1CPC in forum General Surgery
    Replies: 1
    Last Post: 03-09-2015, 11:30 AM
  2. terminal ileum polyps removed
    By southbaymed in forum Gastroenterology
    Replies: 4
    Last Post: 02-12-2015, 08:00 PM
  3. terminal syme amputation
    By Jamie Dezenzo in forum Outpatient Facilities
    Replies: 1
    Last Post: 02-01-2012, 11:15 AM
  4. Ov w/family of terminal patient
    By COBIA1808 in forum Billing/Reimbursement
    Replies: 2
    Last Post: 07-15-2011, 01:14 PM
  5. KTU (Kennedy terminal ulcer)
    By smuckers in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 02-23-2009, 07:26 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.