tci ED Coding & Reimbursement Alert - 2002 Issue 10

Reader Question: Ingrown Nails

Question: I would like to know which CPT code to use for removal of an ingrown nail, either partial or complete. I've been comparing 11750 (Excision of nail and nail matrix, partial or complete, [e.g., ingrown or deformed nail] for permanent removal) to 11730* (Avulsion of nail plate, partial or complete, simple; single). It's the "for permanent removal" reference in the code description that makes me question if 11750 is the correct code for most removals of ingrown toenails in the ED. In my experience, usually only the part of the nail that is ingrowing is cut away...

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