miugu
Networker
If 10060 Incision and drainage of abscess and 11730 Avulsion of nail plate are performed on the same toe during the same session, can both procedures be reimbursed or is 11730 bundled into 10060?
Thank you,
Thank you,
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Wiki 10060 and 11730 on the same toe
- Thread starter miugu
- Start date
delphinus777
Networker
CPT code 11730 would require a modifier to show it was separate from the I/D...different area...separate incision...etc.......HOWEVER- if the Surgeon removed the nail plate and did an I/D of the abscess located beneath then it can not be billed separately.
Thats my two cents.
Thats my two cents.
OCD_coder
True Blue
I agree with MIUGU completely. This is the exact example in the NCCI Coding Manual on the CMS website on when a modifier 59 would NOT be indicated. The nail is considered a contiguous structure to the nail bed and surrounding structure.
If the abscess was at the proximal end of the toe, you may be able to apply a modifier 59 to the 11730.
If the abscess was at the proximal end of the toe, you may be able to apply a modifier 59 to the 11730.