Use 11730 for 'Avulsion' of the ingrown nail and nail plate for temporary removal. Use 11750 for Excisioin of the nail with 'matricectomy', which is done for permanent removal. Hope this clarifies the code options.
What is the Best Thing to do for an Ingrown Toenail?
You may be dealing with an ingrown toenail if:
ICD-10-CM Code for Ingrowing nail L60. 0.
Procedure code 11750 (Excision of nail and nail matrix, partial or complete, [e.g., ingrown or deformed nail] 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.
L60. 0 - Ingrowing nail. ICD-10-CM.
0HBRXZZICD-10-PCS code 0HBRXZZ for Excision of Toe Nail, External Approach is a medical classification as listed by CMS under Skin and Breast range.
An ingrown nail, also known as onychocryptosis from Greek: ὄνυξ (onyx) 'nail' and κρυπτός (kryptos) 'hidden', is a common form of nail disease. It is an often painful condition in which the nail grows so that it cuts into one or both sides of the paronychium or nail bed.
11750 is a more intensive version of 11730. 11730 is performed so the nail can grow back. 11750 in addition to remove of the nail, the matrix/nailbed is killed off so the nail doesn't grow back. The descriptions for CPT codes 11730, 11732 and 11750 indicate partial or complete.
Definition: 11750: Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal; Lay Description: The physician removes all or part of a fingernail or toenail, including the nail plate and matrix permanently.
ICD-10 code L60. 2 for Onychogryphosis is a medical classification as listed by WHO under the range - Diseases of the skin and subcutaneous tissue .
Avulsion of a nail involves separation and removal of the entire nail plate or a portion of nail plate and an excision of the nail and the nail matrix is generally performed under local anesthesia requiring separation and removal of the entire nail plate or a portion of nail plate and is a permanent removal.
MUEs) are accessed, the number is 6 which indicates that CPT code 11750 can be billed up to 6 times on a given date of service.
Losing a toenail or fingernail because of an injury is called avulsion. The nail may be completely or partially torn off after a trauma to the area. Your doctor may have removed the nail, put part of it back into place, or repaired the nail bed. Your toe or finger may be sore after treatment.
The second issue is based upon the number of times that CPT codes 11730 and 11732 can be billed on a single patient on a designated date of service. Medicare has this all specified within the Medically Unlikely Edits or MUEs. For CPT code 11730 the number is 1.
Avulsion of a nail involves separation and removal of the entire nail plate or a portion of nail plate and an excision of the nail and the nail matrix is generally performed under local anesthesia requiring separation and removal of the entire nail plate or a portion of nail plate and is a permanent removal.
ICD-10 code L60. 2 for Onychogryphosis is a medical classification as listed by WHO under the range - Diseases of the skin and subcutaneous tissue .
Per CMS, CPT code 11750 has a global period of ten days; which means the fee associated with the procedure takes into account the post-op care.
ICD-10 code M79. 67 for Pain in foot and toes is a medical classification as listed by WHO under the range - Soft tissue disorders .