Billing and Coding: Surgical Treatment of Nails

This billing and coding article clarifies coding, billing, and documentation rules for surgical nail procedures (CPT 11730, 11732, 11750, 11765). Key points: use CPT 11730 for single nail avulsion, 11732 as add-on for subsequent avulsions, and 11750 for permanent excision with matrix destruction; append identifying digit modifiers for each nail and meet detailed documentation requirements. Repeat procedures have temporal restrictions (11730/11732: >=4 months for fingers or >=8 months for toes; 11750: denied for repeats unless KX modifier with specific medical justification is appended).

"Report CPT 11730 for simple avulsion of a nail plate (partial or complete) when removing part or the entire nail plate for a single digit on a single date of service."

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