What is procedure code 11730?
The description of CPT codes 11730 and 11750 indicates partial or complete avulsion. When one of these codes is reported, it represents all services performed on that nail for that date of service.
What is nail plate avulsion?
A nail avulsion is a procedure to remove your nail plate (the hard part of your nail) from your finger or toe. Your healthcare provider may recommend this type of procedure if you’re having nail problems that haven’t gotten better with other treatments. A nail avulsion may be done to: Treat an infection of your nail.
Does CPT 11730 need a modifier?
Each procedure should be listed only with the applicable toe modifier (TA, T1, T2, etc). If all ten toes had the procedure done, there should be ten line items total (11730 billed once, 11732 billed nine times).
How do you treat nail avulsion?
Self-care:
- Keep your nail area clean, dry, and covered.
- Elevate your hand or foot above the level of your heart as often as you can for 24 hours.
- Apply ice on your wound area for 15 to 20 minutes every hour or as directed.
- Do not wear tight shoes or shoes that do not fit well.
What is the modifier for left great toe?
TA
Modifiers TA, T1-T9
| Modifier | Brief Description |
|---|---|
| TA | Left foot, great toe |
| T1 | Left foot, second digit |
| T2 | Left foot, third digit |
| T3 | Left foot, fourth digit |
How long does it take to recover from nail avulsion?
The wound should heal within a few weeks. If completely removed, fingernails may take 6 months to grow back. Toenails may take 12 to 18 months to grow back. Injured nails may look different when they grow back.
Does nail grow back after nail avulsion?
Following surgical avulsion, the combined range of regrowth for both fingernails and toenails has been observed at 5 to 10 months. Elsewhere it is estimated that surgically avulsed fingernails in the average adult will completely regrow in 4 to 5 months, whereas toenails require twice as long, 10 to 18 months.
How do you code nail avulsion?
When damage to the nail is extensive and removal is required, report it with CPT code 11730 (avulsion of nail plate, partial or complete, simple, single, 1.58 RVUs, Medicare $56.94).