tci General Surgery Coding Alert - 2013 Issue 5

Reader Question: Add E/M for Second Toe

Question: During an appointment for an ingrown toenail surgery, the surgeon finds that the patient has another ingrown toenail on the other foot, and removes both nails. What procedure code(s) should I report, and can I claim a separate E/M? Iowa Subscriber Answer: You should report two units of 11750 (Excision of nail and nail matrix, partial or complete [e.g., ingrown ordeformed nail] for permanent removal). It may be appropriate to bill an E/M service as well. Depending on the physician’s documentation, you may be able to bill for the work in assessing the patient’s other...

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