The Medicare program provides limited benefits for outpatient prescription drugs. The following ICD-10-CM codes support medical necessity and provide coverage for CPT codes: 11730, 11732, 11750, and 11765: * Note: Report standalone ICD-10-CM code L60.8 for the indication of subungual abscess, subungual tumor, periungual tumor, subungual hematoma, or melanoma. 5. This LCD imposes diagnosis limitations that support diagnosis to procedure code automated denials. Contractors may specify Bill Types to help providers identify those Bill Types typically Therefore, a partial or complete excision of nail and nail matrix may be the preferred course of treatment for recurrent ingrown nails. CPT is a trademark of the American Medical Association (AMA). No fee schedules, basic unit, relative values or related listings are included in CPT. Billing and Coding: Surgical Treatment of Nails - Centers Excision of the nail and the nail matrix (CPT code 11750) performed under local anesthesia (unless the digit is devoid of sensation, which should be documented) requiring separation and removal of the entire nail plate or a portion of nail plate (including the entire length of the nail border to and under the eponychium) followed by destruction or permanent removal of the associated nail matrix. If an entity wishes to utilize any AHA materials, please contact the AHA at 312‐893‐6816. All Rights Reserved. The following surgical procedures represent the options used to treat complicated/symptomatic ingrowing nail(s): Avulsion of a nail (CPT codes 11730 and 11732) involving separation and removal of the entire nail plate or a portion of nail plate (including the entire length of the nail border to and under the eponychium). Method of obtaining anesthesia (if not used, the reason for not using it). Is the proper way to code these procedures: - CPT 11730 (twice) with the correct "T" codes, or - CPT 11730 for the first and CPT 11732 for the second avulsion, using the correct "T" codes on each? complete information, CMS does not guarantee that there are no errors in the information displayed on this web site.

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