Overview of CPT Code 11720: Removal of nail, partial or complete, any nail

Overview of CPT Code 11720: Removal of nail, partial or complete, any nail

CPT Code 11720 refers to the surgical procedure for the removal of a nail, either partially or completely, from any finger or toe. This procedure is often performed to address issues such as ingrown nails, nail infections, or trauma.

When CPT Code 11720 is Used?

This code is applicable in various clinical scenarios, including but not limited to:

• Severe ingrown toenails causing pain and inflammation.
• Nail infections that do not respond to conservative treatments.
• Nail trauma resulting in significant damage or detachment.
• Nail dystrophies that lead to discomfort or cosmetic concerns.

Symptoms Indicating This Procedure

Patients may present with the following symptoms:

• Persistent pain around the nail area.
• Swelling and redness at the nail bed.
• Discharge or pus from the affected nail.
• Nail deformity or abnormal growth.

Causes and Risk Factors

Several factors can contribute to the need for nail removal:

• Improper nail trimming leading to ingrown nails.
• Fungal infections affecting nail health.
• Trauma from injury or repetitive pressure.
• Genetic predisposition to nail disorders.

Diagnostic Tests Before Procedure

Before proceeding with nail removal, the following diagnostic tests may be conducted:

• Physical examination of the nail and surrounding tissue.
• Nail cultures to identify any underlying infections.
• X-rays to assess for bone involvement in trauma cases.

Procedure Description

The procedure for nail removal typically involves the following steps:

• Administer local anesthesia to numb the area.
• Clean the affected nail and surrounding skin with antiseptic.
• Use surgical instruments to carefully remove the nail, either partially or completely.
• Control any bleeding and apply a sterile dressing to the site.

Preparation for the Procedure

Patients should follow these steps to prepare for the procedure:

• Avoid taking blood-thinning medications prior to the procedure.
• Inform the physician of any allergies or medical conditions.
• Arrive with clean feet or hands, depending on the nail being treated.

Recovery and Aftercare

Post-procedure recovery typically includes:

• Resting the affected area and avoiding pressure on the site.
• Keeping the dressing clean and dry for the first few days.
• Taking prescribed pain medications as needed.
• Monitoring for signs of infection, such as increased redness or discharge.

Possible Complications

While generally safe, the procedure may have some risks, including:

• Infection at the site of removal.
• Excessive bleeding during or after the procedure.
• Nail regrowth issues or deformities.
• Allergic reactions to anesthesia or medications.

Secure, compliant, and built for trust

HIPAA-compliant and designed with privacy in mind, your patient’s data is protected. Focus on care while we safeguard your information.

Learn more

Post-Procedure Follow-Up

Follow-up care is essential for monitoring recovery:

• Schedule a follow-up appointment within 1-2 weeks post-procedure.
• Assess healing and address any complications.
• Discuss nail care and prevention of recurrence.

Alternative Treatments

Before considering surgical removal, patients may explore:

• Topical antifungal or antibiotic treatments.
• Nail braces or splints for ingrown nails.
• Soaking the affected area in warm water to reduce discomfort.

Home Care Tips

Patients can follow these tips for effective home care:

• Keep the area clean and dry.
• Avoid tight footwear that may irritate the nail bed.
• Use over-the-counter pain relievers as needed.

Patient Education & Prevention

To prevent recurrence, patients should consider:

• Proper nail trimming techniques to avoid ingrown nails.
• Wearing appropriate footwear to reduce trauma.
• Regular foot care and hygiene practices.

Billing and Coding Information

CPT Code: 11720

Category: Surgical Procedures

Common Modifiers:

• 50 - Bilateral procedure
• RT - Right side
• LT - Left side

Average Cost and Insurance Coverage

The cost for this procedure can vary widely:

• Average cost ranges from $200 to $600.
• Most insurance plans cover the procedure if deemed medically necessary.

Related CPT Codes

• 11730 - Removal of nail, partial or complete, any nail
• 11732 - Paring or cutting of hyperkeratotic skin (e.g., callus, corn) on toes
• 11750 - Excision of nail and nail matrix

References and Sources

• American Academy of Dermatology
• Mayo Clinic - Ingrown Toenails