Cpt code for ingrown toenail removal

Ingrown toenails can have many causes. These may include: Incorrectly cut toenails. If you cut your toenail too short or rounded, the nail may grow into your skin. Improperly fitting shoes. Tearing the corner of your nail. Toe trauma, such as banging your toe or getting stepped on. Your toe shape.

Cpt code for ingrown toenail removal. My doctors list this title on their POC quite often and I have looked and its not removal of nails or wedge excision (no anesthesia) and not really... Menu. Forums. New posts Search ... and not really debridement of nail (11720/21). Am I just trying too hard to code? THX . P. PLAIDMAN Guest. Messages 520 Best answers 0. Oct 20, 2016 #2 …

Avulsion of nail plate, partial or complete, simple; each additional nail plate (11732) Evacuation of subungual hematoma (11740) Excision of nail and nail matrix, partial or …

METHODS. A questionnaire including 9 of the most commonly performed nail procedures and potential CPT codes was sent to experts in the treatment of nail disease, defined as those clinicians running a nail subspecialty clinic and performing nail procedures with regularity. A conference call was convened to discuss survey results.May 27, 2020 · As noted with ingrown toenail. 6. Ingrown toenail of right foot Notes: Patient educated to condition treatment options. Aseptic technique utilized to remove painful ingrown nail to the medial and lateral borders of the right foot utilizing nipper and curette. After care bacitracin and Band-Aid. Soaking instructions provided. We'll continue to ... In the world of medical billing and coding, CPT codes play a crucial role. These codes, also known as Current Procedural Terminology codes, are used to identify and document medica...CPT® Code 11750 in section: Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removalRemoval Of The Nail Edge In the more urgent situation with severe infection just removal of the nail edge under a local anaesthetic nerve block will help overcome the infection. This may give permanent relief in up to 50% if the nail is cared for appropriately following the procedure. However the problem may recur.

In the complex world of medical billing and coding, accurate documentation is crucial for maximizing revenue and ensuring efficiency. One tool that can greatly aid in this process ...Is there a CPT to cut back the nail, or do you use 11750 for partial removal, or OV code? Menu. Forums. New posts Search forums. Wiki Posts. All Wiki Posts Recent Wiki Posts. What's new. ... Ingrown toenail. Thread starter gcohen; Start date Jul 27, 2021; Create Wiki G. gcohen Guru. Messages 172Oct 3, 2018 · When billing for non-covered services, use the appropriate modifier. The description of CPT codes 11730, 11732 and 11750 indicates partial or complete avulsion or excision of a nail plate. When CPT code 11730, 11732 or 11750 is reported, it represents all services performed on that nail for that date of service (DOS). 3. loosen & remove one side of the nail at a time. What are the two short term outcomes in a ingrown toenail removal? serosanguineous drainage minimal within 24 hours. pain well-controlled with non-narcotic analgesia and elevation. When should full healing be achieved from an ingrown toenail removal? 4-6 weeks.Ingrown toenail removal surgery is typically an outpatient procedure performed in a podiatrist’s office. Here’s a breakdown of what to expect: Anesthesia: Local anesthesia is the most common option, numbing the toe and surrounding area. In some cases, particularly for children or patients with anxiety, a light sedation might be used. ...This web page provides comprehensive information on ingrown toenail causes, symptoms, diagnosis, and treatment options. It does not mention any CPT code …Partial nail removal. Removing the entire outside portion of affected nail (definitive treatment) Lift the affected side (up to 1/3 of the nail) off of the nail bed via blunt dissection with a hemostat. Grasp the nail fragment with the hemostat and use a rotating motion with the clamped hemostat toward the remaining nail to expose the outside ...However, the podiatrist has not examined the other (new) ingrown toenail earlier. Adding modifier 25 (Significant, separately identifiable E&M service by the same physician on the same day of the procedure or other service) to 99212 indicates the podiatrist carries out a significant, separate service from the ingrown toenail removal.

An Ingrown toenail is a common, although painful, nail impairment which occurs when the toenail curves into the flesh of the toe digging into the soft tissue. Ingrown toenails are often caused by improperly trimming toenails, tight-fitting shoes, repeated trauma, or heredity. While ingrown toenails can occur in any toe, the big toe is the most ...Is there a CPT to cut back the nail, or do you use 11750 for partial removal, or OV code? Menu. Forums. New posts Search forums. Wiki Posts. All Wiki Posts Recent Wiki Posts. What's new. ... Ingrown toenail. Thread starter gcohen; Start date Jul 27, 2021; Create Wiki G. gcohen Guru. Messages 172When 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, …For each additional nail plate avulsed, turn to add-on code +11732 Avulsion of nail plate, partial or complete, simple; each additional nail plate (List separately in addition to code for primary procedure). For example, if the provider performed three avulsions, report 11730, 11732 x 2. I am not an expert but I will provide links to experts on ingrown toenail billing: This explains how to bill a simple ingrown toenail removal or if you do more than one 11730 or 2:

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Oct 17, 2016 · My doctors list this title on their POC quite often and I have looked and its not removal of nails or wedge excision (no anesthesia) and not really debridement of nail (11720/21). Am I just trying too hard to code? THX However, the podiatrist has not examined the other (new) ingrown toenail earlier. Adding modifier 25 (Significant, separately identifiable E&M service by the same physician on the same day of the procedure or other service) to 99212 indicates the podiatrist carries out a significant, separate service from the ingrown toenail removal.The CPT code 11765 has been introduced for the removal of toenails that are infected, ingrown, or deformed. Before this, the billing code for toenail removal was included in a broader descriptor under the surgical section.forms on ingrown toenail removal are provided on pages 2551, 2552 and 2554. This article is one in a series adapted from the Academy Collec-tion book “Office Pro-cedures,” written forAn ingrown toenail may require minor office surgery. The procedure involves removing the part of the nail that is ingrown. Before surgery, the doctor will numb your toe by injecting it with ...

Reporting CPT code 11750 (removal of nail bed) with CPT code 11765 (excision of nail fold toe) for the same digit on the same DOS is not correct coding. CPT code 11765 requires an excision of a wedge of the skin of the nail fold from the involved side of the toe. Reporting CPT code 11765 for the removal of a small piece of the skin and/or the ...CPT codes 11730 and 11732 for nail avulsion will be denied if billed for the same finger less than 4 months (16 weeks) or the same toe less than 8 months (32 weeks) following a previous avulsion. CPT code 11750 for nail excision permanent removal will be denied if billed for the same finger or toe following a previous excision.Oct 17, 2016 · My doctors list this title on their POC quite often and I have looked and its not removal of nails or wedge excision (no anesthesia) and not really debridement of nail (11720/21). Am I just trying too hard to code? THX The causes of an ingrown toenail are multiple and include trimming the toenails too short, using sharp tools to clean the toenail gutters, wearing improperly fitted (too tight) shoes, rotated digits, and bony deformities. Improper toenail trimming can result in a small nail spike on the lateral aspect of the toenail (Figure 184-1). As the ...Stage 1: The nail has grown into the skin, causing pain and inflammation. Stage 2: New, inflamed tissue grows around the edges of the ingrown toenail. This can lead to drainage or pus. Stage 3: The skin surrounding the toenail is chronically inflamed and is oozing pus. The inflamed tissue begins to grow over the nail.Best answers. 0. Sep 9, 2016. #2. If you code for the I&D, you'd likely get a bundling edit for the nail removal. But the fact that the patient has an ingrowing toenail doesn't inherently mean the patient also has an abscess, so it'd be a stretch to meet the medical necessity of the I&D with just that DX. The documentation doesn't explain the ...I am not an expert but I will provide links to experts on ingrown toenail billing: This explains how to bill a simple ingrown toenail removal or if you do more than one 11730 or 2:Feb 18, 2022 ... We received a nice thank-you note from a member who had some challenges with CPT® codes 11720 and 11721. Their office is now able to obtain ...CPT Codes: • 1 – CPT 11104 – RT • 2 – CPT 99213 - 25 modifier 10 . New Patient • Ingrown toenail with partial nail avulsion . 11 . New Patient • Ingrown toenail with partial nail avulsion . With supporting documentation . ICD-10 Codes: • 1 – L60.8 Deformity of nail

How to Treat Your Ingrown Toenails. If you are battling an ingrown toenail, here are your treatment options: At home: try soaking in warm water and Epsom salts (1/3 Cup) for 10-15 minutes, 2 times per day for an ingrown toenail that is not painful or infected. Onyfix: this treatment reshapes ingrown toenails painlessly. The process involves preparing the …

Zuber T. Ingrown toenail removal. American Family Physician, June 15, 2002;65(12):2547-2550. Kouba DJ, LoPiccolo MC, Alam M, et al. Guidelines for the use of local anesthesia in office-based dermatologic surgery. ... Enter the CPT/HCPCS code in the MCD Search and select your state from the drop down. (You may have to accept the …In a particular case, a patient presents for a follow-up of an ingrown toe nail. The podiatrist finds that the patient now has two ingrown toenails – one on each foot. He removes both from each toe and also did a silver nitrate cauterization. How should I report this? Should I report 99212-25? Well, the answer is yes. Besides coding 99212-25, you should bill …Ingrown toenail removal surgery is typically an outpatient procedure performed in a podiatrist’s office. Here’s a breakdown of what to expect: Anesthesia: Local anesthesia is the most common option, numbing the toe and surrounding area. In some cases, particularly for children or patients with anxiety, a light sedation might be used. ...If you’re looking for Ingrown Toenail ICD codes, only one ICD-10 code is meant for it, and it’s L60.0 - Ingrowing nail . Usually, particular medical problems, especially those with different types, have other ICD-10 codes specific to each type. An example would be lacerations. There are many laceration ICD-10 codes.Ingrown toenails are mainly caused by improper cutting of the nail and surrounding skin. If the nail is trimmed at an angle rather than straight across, there is often a piece of nail left behind. Other causes of ingrown toenails are contributed by tight fitting shoes or cleats, pedicures, fungal toenails, and the genetic shape of your toenail.ICD-10-CM Codes. Diseases of the skin and subcutaneous tissue. Disorders of skin appendages. Nail disorders (L60) Ingrowing nail (L60.0) L60. L60.0. L60.1.Feb 19, 2019 · Report each additional nail with the add-on code 11732 (avulsion of nail plate, partial or complete, simple, additional nail plate, 0.51 RVUs, Medicare $18.38). If a nail bed injury requires repair, report it with 11760 (repair of nail bed, 3.27 RVUs, Medicare $117.84). Note that when an avulsion is performed to facilitate a nail bed repair, it ... The long-term solution to recurrent ingrown toenails is to apply a chemical to destroy the nail root completely following a partial nail avulsion. This complete procedure is known as partial nail avulsion with chemical maxtrixectomy. This ingrown toenail removal procedure has proved to be highly effective with low recurrence rates.Oct 1, 2015 · LCD revised and published on 04/14/2016 for dates of service on and after 10/01/2015 to add the following ICD-10 codes to the Group 1 codes as covered diagnoses: S90.211A-S, S90.212A-S, S90.221A-S, and S90.222A-S. Added hyperlink to article A52998 Surgical Treatment of Nails. Updated references to active LCDs in the Indications section. Nail side: Medial. Ingrown nail: Wedge excision of skin: yes. Nail matrix removed or ablated: Partial. Post-procedure details: Dressing: 4x4 sterile gauze and tube gauze. Patient tolerance of procedure: Tolerated well, no immediate complications. Comments: Applied silver nitrate applied to both great toe nailbeds.

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Worst of all, this inefficiency could delay care to Palmetto beneficiaries for a condition (ingrown toenail) which can cause infection, amputation, and even death. Medial Versus Lateral Border Ingrown Nails . CPT ®1 11750 - Excision of nail and nail matrix, partial or complete (e.g., ingrown or deformed nail), for permanent removalBest answers. 0. Apr 26, 2016. #1. Provider trimmed bilateral ingrown toenails. Please see dictated note: "Anesthesia with 3 ml of lidocaine without epi used to preform a digital block of the right toe. Anesthesia with 4.5ml of lidocaine without epi used to perform a digital block of the left toe. Adaquate numbness acheived.The authors hope that the expert consensus on the most appropriate CPT codes associated with commonly performed nail procedures will aid clinicians as they diagnose and treat …Here are some tips: Soak the foot in warm water 3–4 times a day, while using a cotton bud to gently push the skin away from the toenail. A doctor may advise you to add Epsom salt to the warm ...When a removal of either a medial or lateral border of a toenail is performed, CPT code 11730 (Avulsion of nail plate, partial or complete, simple; single) nor 11750 (Excision of nail and nail matrix, partial or complete (e.g., ingrown or deformed nail), for permanent removal) differentiate between a medial or lateral border avulsion.The information in this article contains billing, coding, or other guidelines that complement the Local Coverage Determination (LCD) for Surgical Treatment of Nails L39258. Coding Guidelines. When billing for non-covered services, use the appropriate modifier. When CPT® code 11730, 11732 or 11750 is reported, it represents all services ...ingrown lateral nail edge.11 Both methods are effective for mild to moderate cases. 12 A newer treatment approach involves using tape to pull the nail fold away from the nailMar 5, 2023 · The information in this article contains billing, coding, or other guidelines that complement the Local Coverage Determination (LCD) for Surgical Treatment of Nails L39258. Coding Guidelines. When billing for non-covered services, use the appropriate modifier. When CPT® code 11730, 11732 or 11750 is reported, it represents all services ... I code for 3 podiatrists. You would use CPT 11750 only once per digit. CPT 11750 "may only be reported once per digit. A partial excision, even when the partial excision requires two incisions (medial & lateral aspects), of the nail does not count as two separate procedures." Excerpt from the Ingenix Coding Companion for Podiatry.Introduction. Ingrown toenail is a common condition among adolescents and young adults. Surgical intervention is usually recommended for stage 2 and stage 3 ingrown toenails as classified under the Heifetz and Mogensen system [1,2].We have performed crescent excision of soft tissue, bony shortening of the distal phalanx, as well …In the world of medical billing and coding, CPT codes play a crucial role. These codes, also known as Current Procedural Terminology codes, are used to identify and document medica...Procedure code 11750 (Excision of nail and nail matrix, partial or complete, [e.g., ingrown or deformed nail] for permanent removal) requires the removal of the full length or the entire nail plate, with destruction or permanent removal of the matrix by any means. ….

A layer of moss on your roof can cause serious damage. Here’s how to remove moss from a roof and prevent it from growing back. Expert Advice On Improving Your Home Videos Latest Vi...To do this when you have an ingrown nail: Soak your foot in warm water for about 15 minutes to soften the nail. Wedge a small piece of wet cotton under the corner of the nail to cushion the nail and lift it slightly. This keeps it from cutting the skin. Repeat daily until the nail has grown out and can be trimmed.of the nail edge or recurrence of the ingrowing toenail. Ingrowing toenails are a common problem and occur when the edge of the nail grows into flesh at the side of the nail, causing a painful injury. The punctured skin can become inflamed and infected. Ingrown toenails can be classified into three stages (see Figure 1): • mild (or Stage I)Based on comments that CPT ® code 11730 includes avulsion of nail plate, ... Zuber T. Ingrown toenail removal. Am Family Physician. 2002;65(12):2547-2550. Revision History Information. Revision History Date Revision History Number Revision History Explanation Reasons for Change;Worst of all, this inefficiency could delay care to Palmetto beneficiaries for a condition (ingrown toenail) which can cause infection, amputation, and even death. Medial Versus Lateral Border Ingrown Nails . CPT ®1 11750 - Excision of nail and nail matrix, partial or complete (e.g., ingrown or deformed nail), for permanent removalFeb 19, 2019 · Report each additional nail with the add-on code 11732 (avulsion of nail plate, partial or complete, simple, additional nail plate, 0.51 RVUs, Medicare $18.38). If a nail bed injury requires repair, report it with 11760 (repair of nail bed, 3.27 RVUs, Medicare $117.84). Note that when an avulsion is performed to facilitate a nail bed repair, it ... Ingrown nail surgery is the removal of a nail, or a portion of a nail, that is covered by skin and causing pain and/or infection. It may also involve the destruction of the nail bed itself. This may be done on fingernails or toenails and is considered if conservative measures have proven ineffective.Your fingernails and toenails can be surprising indicators of what’s going on inside your body. In this video, the folks at SciShow illustrate five things our nails can tell us abo...Ingrown toenail removal surgery is typically an outpatient procedure performed in a podiatrist’s office. Here’s a breakdown of what to expect: Anesthesia: Local anesthesia is the most common option, numbing the toe and surrounding area. In some cases, particularly for children or patients with anxiety, a light sedation might be used. ...The most common surgeries for ingrown toenails include: Wedge resection. Here, a doctor removes a portion of the toenail to prevent it from digging into the skin. This procedure is also called a ... Cpt code for ingrown toenail removal, Procedure for Toenail Removal. Toenail removal is surgical removal or excision of a part of an ingrown toenail in order to cut off the affected part and allow the nail to grow back without eating deep into the surrounding skin anymore. …, I am not an expert but I will provide links to experts on ingrown toenail billing: This explains how to bill a simple ingrown toenail removal or if you do more than one 11730 or 2: , A layer of moss on your roof can cause serious damage. Here’s how to remove moss from a roof and prevent it from growing back. Expert Advice On Improving Your Home Videos Latest Vi..., Zuber T. Ingrown toenail removal. American Family Physician, June 15, 2002;65(12):2547-2550. Kouba DJ, LoPiccolo MC, Alam M, et al. Guidelines for the use of local anesthesia in office-based dermatologic surgery. ... Enter the CPT/HCPCS code in the MCD Search and select your state from the drop down. (You may have to accept the …, The causes of an ingrown toenail are multiple and include trimming the toenails too short, using sharp tools to clean the toenail gutters, wearing improperly fitted (too tight) shoes, rotated digits, and bony deformities. Improper toenail trimming can result in a small nail spike on the lateral aspect of the toenail (Figure 184-1). As the ..., This document lists the CPT codes for various foot care services, including surgical removal or care of ingrown toenail(s), and the conditions under which they are …, Nov 18, 2011. #1. I need help picking a CPT code for the following: 3. Toenail concerns. In November of 2010, underwent toenail extraction with. nail plate ablation of the left second toenail. Twice since that procedure, she has had a …, of the nail edge or recurrence of the ingrowing toenail. Ingrowing toenails are a common problem and occur when the edge of the nail grows into flesh at the side of the nail, causing a painful injury. The punctured skin can become inflamed and infected. Ingrown toenails can be classified into three stages (see Figure 1): • mild (or Stage I), Excision: You should code each toenail removal. Report 11750 for the first complete removal and 11750 for the second removal. You correctly append modifier -50 ( Bilateral procedure) to the second 11750 ( Excision of nail and nail matrix partial or complete [e.g. ingrown or deformed nail] for permanent removal )., Aug 12, 2019 · The most common surgeries for ingrown toenails include: Wedge resection. Here, a doctor removes a portion of the toenail to prevent it from digging into the skin. This procedure is also called a ... , L60.0 is a valid billable ICD-10 diagnosis code for Ingrowing nail . It is found in the 2024 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2023 - Sep 30, 2024 . ↓ See below for any exclusions, inclusions or special notations. The use of ICD-10 code L60.0 can also apply to: Acronyx., 3. loosen & remove one side of the nail at a time. What are the two short term outcomes in a ingrown toenail removal? serosanguineous drainage minimal within 24 hours. pain well-controlled with non-narcotic analgesia and elevation. When should full healing be achieved from an ingrown toenail removal? 4-6 weeks., • Ingrown toenail with partial nail avulsion . With supporting documentation . ICD-10 Codes: • 1 – L60.8 Deformity of nail • 2 – L60.0 Ingrowing nail CPT Codes: • 1 – CPT 99202 • 2 – CPT 11730 - TA 12 , All compression upon the toe should be removed, including socks or hosiery. Warm water soaks should be performed at least 4-5 times daily. Antibiotics are of unclear value but should be given in the setting of significant cellulitis or to patients who are diabetic or immunocompromised. Wound cultures may be obtained to direct antibiotic choice., Introduction. Ingrown toenail is a common condition among adolescents and young adults. Surgical intervention is usually recommended for stage 2 and stage 3 ingrown toenails as classified under the Heifetz and Mogensen system [1,2].We have performed crescent excision of soft tissue, bony shortening of the distal phalanx, as well …, Nail Debridement CPT Codes • 1.11720 - Debridement of nail(s) by any method; 1 to 5 • 2.11721 - Debridement of nail(s) by any method; 6 or more. Medicare Billing Medicare generally does not cover routine foot care. Routine foot care defined as: • Cutting or removal of corns or calluses • Trimming, cutting, clipping, or debriding of nails, Jul 29, 2011 · I code for 3 podiatrists. You would use CPT 11750 only once per digit. CPT 11750 "may only be reported once per digit. A partial excision, even when the partial excision requires two incisions (medial & lateral aspects), of the nail does not count as two separate procedures." Excerpt from the Ingenix Coding Companion for Podiatry. , When 3 toenails are removed, do I need to use any other modifiers besides the toe modifiers? 11750-T1 11750-T2 11750-T7 Or do I need 59s or 51s?, The long-term solution to recurrent ingrown toenails is to apply a chemical to destroy the nail root completely following a partial nail avulsion. This complete procedure is known as partial nail avulsion with chemical maxtrixectomy. This ingrown toenail removal procedure has proved to be highly effective with low recurrence rates., Reporting CPT ® code 11765 for the removal of a small piece of the skin and/or the nail without local anesthesia is not correct coding. ... For a medically reasonable and necessary repeat nail avulsion of the same toenail or fingernail performed more often than every 32 weeks (8 months) for toenails or every 16 weeks (4 months) for fingernails ..., Partial nail removal. Removing the entire outside portion of affected nail (definitive treatment) Lift the affected side (up to 1/3 of the nail) off of the nail bed via blunt dissection with a hemostat. Grasp the nail fragment with the hemostat and use a rotating motion with the clamped hemostat toward the remaining nail to expose the outside ..., This method helps ease the pain of an ingrown nail as well. Partially removing the nail. For a more severe ingrown toenail (inflamed skin, pain and pus), your health care provider may numb the toe and trim or remove the ingrown portion of the nail. It could take 2 to 4 months for your toenail to grow back. Removing the nail and tissue., ICD-10-CM Codes. Diseases of the skin and subcutaneous tissue. Disorders of skin appendages. Nail disorders (L60) Ingrowing nail (L60.0) L60. L60.0. L60.1., Certain connections on your computer are blocked by programs for security. You can remove Internet filters on your computer to remove blocking. Unblock certain connections to allow..., Abstract. Ingrown toenails are a significant source of pain and disability for patients. After assessment of the nail and tissue, treatment options ranging from conservative to surgical are considered. A basic partial nail avulsion is performed to remove the offending nail border and will often be followed by a chemical matrixectomy procedure ..., 1. What is CPT 11750? CPT 11750 is a medical code used to describe the procedure of excising part or all of a fingernail or toenail, including the nail plate and matrix, for …, o Cutting or removal of corns and calluses; o Trimming, cutting, clipping, or debriding of nails; and o Other hygienic and preventive maintenance care, such as cleaning and soaking the feet, the use of skin creams to maintain skin tone of either ambulatory or bedfast members, and any other service performed, Study with Quizlet and memorize flashcards containing terms like What is the correct CPT® code for the wedge excision of a nail fold of an ingrown toenail?, What is the correct HCPCS Level II code for parenteral nutrition solution amino acid, 3.5%?, When procedures are "mandated" by third party payers, what modifier would you use? and more., When a patient presents with a dystrophic toenail, we often send a sample of the affected nail for culture, pathology and/or molecular genetic testing. If you obtain this sample by clipping off a distal portion of the nail plate and scraping out subungual debris, the question is often asked if you should code this with CPT 11755. The short answer to the …, Introduction. Ingrown toenail is a common condition among adolescents and young adults. Surgical intervention is usually recommended for stage 2 and stage 3 ingrown toenails as classified under the Heifetz and Mogensen system [1,2].We have performed crescent excision of soft tissue, bony shortening of the distal phalanx, as well …, Ingrown toenails can have many causes. These may include: Incorrectly cut toenails. If you cut your toenail too short or rounded, the nail may grow into your skin. Improperly fitting shoes. Tearing the corner of your nail. Toe trauma, such as banging your toe or getting stepped on. Your toe shape., Have an infected ingrown toenail and need ingrown toenail treatment? The Foot Hub offers meticulous cost-effective treatment options for ingrown toenails. ... • Item Codes 004 (initial) 012 (ongoing) • Afterpay . BOOK . Partial Nail Avulsion $ 95 • Additional $30 for local anaesthetic ... • Removal of entire toenail plate • 1 free ..., 10-CM code with an asterisk (*) (see ICD-10-CM Codes in the Local Coverage Article: Billing and Coding: Routine Foot Care [A52996]), routine foot care procedures are reimbursable only if the patient is under the active care of a doctor of medicine or osteopathy (MD or DO) or NPP for the treatment