ED Coding and Reimbursement Alert
Lay to Rest Questions on Nail Bed Repair
Question: Can I get help with a procedure codefor this nail bed repair?
Note reads: location: right great toe, nail bed. length: 3 cm. Local analgesia was obtained using block. The wound was thoroughly cleansed, irrigated, and explored. No evidence of foreign body was noted. The wound was closed with 2 sutures with close approximation. The patient was neurovascularly intact after closure. No complications were noted. Sterile dressing applied.
Answer: For the scenario you describe, the reportable service is arepair of nail bed: 11760 (Repair of the nailbed includes the hyponychium, nail grove, nail plate, lunula, proximal nail fold, matrix, and the eponychium). Remember that placing the sutures is included in the code and should not be separately reported with a 120xx repair code.
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ED Coding and Reimbursement Alert
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