Commentary on Transungual Excision of Glomus Tumors

Baltz, Julia O.; Jellinek, Nathaniel J.

doi:10.1097/dss.0000000000001998

Cited by 3 publications

(1 citation statement)

References 9 publications

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“…The nail plate and the proximal nail fold are then returned to anatomic position and also sutured into place. 9 As described, this procedure includes the excision of a benign lesion (11400 series) followed by an intermediate (12031 series) or complex closure (13131 series) as defined by closure length and extent of undermining, followed by a multilayered closure. As of 2020, CPT language defining complex closure demands that undermining is equal to or greater than the maximum width of the defect, measured perpendicular to the closure line.…”

Section: Treatment Of Subungual Tumorsmentioning

confidence: 99%

Expert Consensus on Nail Procedures and Selection of CPT Codes

Baltz

Rubin

Adigun³

et al. 2021

Dermatol Surg

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BACKGROUND Dermatologists specialize in treating conditions of the skin, hair, and nails; however, it is our experience that the field of nail diseases is the least discussed facet of dermatology. Even less acknowledged is the complexity of nail procedures and how best to accurately code for these procedures. OBJECTIVE To convene a panel of experts in nail disease to reach consensus on the most accurate and appropriate Current Procedural Terminology (CPT) codes associated with the most commonly performed nail procedures. 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. RESULTS Unanimous consensus was reached on the appropriate CPT codes associated with all discussed procedures. LIMITATIONS Although this article details the most commonly performed nail procedures, many were excluded and billing for these procedures continues to be largely subjective. This article is meant to serve as a guide for clinicians but should not be impervious to interpretation in specific clinical situations. CONCLUSION Billing of nail procedures remains a practice gap within our field. 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 disorders of the nail unit and encourage accurate and complete billing practices.

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Section: Treatment Of Subungual Tumorsmentioning

confidence: 99%