tci ED Coding & Reimbursement Alert - 2020 Issue Q3

You Be the Coder: Can You Code This Excision?

Question: Our ED physician treated a patient whose big toenail was almost completely torn off in an injury. The physician established a digital block, then removed the remaining nail that was hanging on, going down to, but not including, the matrix. Is 11750 the best code in this case? Should I code the block separately? Illinois Subscriber Answer: No, you shouldn’t code 11750 (Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal) in this case, even though the procedure note mentions the nail matrix. The 11750 procedure involves intentional destruction...

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