tci ED Coding & Reimbursement Alert - 2010 Issue 11

Reader Questions: Observe trephination rules or end up with claim rejection

Question: A patient reports to the ED with blood and pus under his left third and fourth digit toenails. The physician performs simple avulsion on each toe, and uses cautery to control bleeding. Notes indicate a level-two E/M service. Can I code the trephination separately for each nail?Pennsylvania SubscriberAnswer: You cannot code trephination for either repair, though you will be able to submit a CPT code for each avulsion. On the claim, report the following:11730 (Avulsion of nail plate, partial or complete, simple; single) for the first avulsion+11732 (... each additional nail plate [List separately in addition to...

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