Pseudo-Encapsulated Digital Myxoid Cyst: An Unusual Manifestation of a Common Disease

Baltz, Julia O.; Telang, G.; Robinson‐Bostom, Leslie; Jellinek, Nathaniel J.

doi:10.1097/dss.0000000000002321

Cited by 1 publication

(1 citation statement)

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“…In this procedure, a trapezoidal or U-shaped incision is created in the proximal nail fold, including the lesion and the location of the suspected stalk (or stalks), and the tissue reflected proximally. The cyst is then dissected-most often as a collection of gelantinous material, but at times as a discrete mass 6 -from the over and underlying tissue until the cyst stalk(s) can be identified. This area is then targeted with either electrosurgery to scar the stalk origin and/or ligated with suture.…”

Section: Treatment Of Myxoid Cystsmentioning

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 Myxoid Cystsmentioning

confidence: 99%