Cross fingers and toes7/8/2023 Procedure code 11730 (Avulsion of nail plate, partial or complete, simple single) is reported when removing part of the nail plate or the entire nail plate.Ĭlaims must include the nail on which the procedure is performed using one of the modifiers listed in the Coding Information section below to identify the digit in order for payment to be considered.įor services performed on different nails: Reporting CPT code 11765 for the removal of a small piece of the skin and/or the nail without local anesthesia is not correct coding. Reporting CPT code 11750 (removal of nail bed) with CPT code 11765 (excision of nail fold toe) for the same digit on the same DOS is not correct coding.ĬPT code 11765 requires an excision of a wedge of the skin of the nail fold from the involved side of the toe. Reporting CPT codes 11730 or 11732 (removal of nail plate) with CPT code 11750 (removal of nail bed) and or 11765 (excision of nail fold toe) for the same digit on the same DOS is not correct coding. Procedure code 11750 (Excision of nail and nail matrix, partial or complete, for permanent removal) requires the removal of the full length or the entire nail plate, with destruction or permanent removal of the matrix by any means. When lateral and medial sides of a nail are involved, do not report a separate code for each border. When CPT code 11730, 11732 or 11750 is reported, it represents all services performed on that nail for that date of service (DOS). The description of CPT codes 11730, 1170 indicates partial or complete avulsion or excision of a nail plate. When billing for non-covered services, use the appropriate modifier. Notice: It is not appropriate to bill Medicare for services that are not covered (as described by the entire LCD) as if they are covered. Please refer to the LCD for reasonable and necessary requirements. This Billing and Coding Article provides billing and coding guidance for Local Coverage Determination (LCD) 元4887 Surgical Treatment of Nails. Not endorsed by the AHA or any of its affiliates. Presented in the material do not necessarily represent the views of the AHA. Preparation of this material, or the analysis of information provided in the material. The American Hospital Association (the "AHA") has not reviewed, and is not responsible for, the completeness orĪccuracy of any information contained in this material, nor was the AHA or any of its affiliates, involved in the Resale and/or to be used in any product or publication creating any modified or derivative work of the UB‐04 Manual and/or codes and descriptions Īnd/or making any commercial use of UB‐04 Manual or any portion thereof, including the codes and/or descriptions, is onlyĪuthorized with an express license from the American Hospital Association. Making copies or utilizing the content of the UB‐04 Manual, including the codes and/or descriptions, for internal purposes, If an entity wishes to utilize any AHA materials, please contact the AHA at 312‐893‐6816. AHA copyrighted materials including the UB‐04 codes andĭescriptions may not be removed, copied, or utilized within any software, product, service, solution or derivative work No portion of the American Hospital Association (AHA) copyrighted materials contained within this publication may beĬopied without the express written consent of the AHA. All rights reserved.Ĭopyright © 2022, the American Hospital Association, Chicago, Illinois. The AMA assumes no liability for data contained or not contained herein.Ĭurrent Dental Terminology © 2022 American Dental Association. The AMA does not directly or indirectly practice medicine or dispense medical services. Applicable FARS/HHSARS apply.įee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not AMA CPT / ADA CDT / AHA NUBC Copyright StatementĬPT codes, descriptions and other data only are copyright 2022 American Medical Association.
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