Overview of CPT Code 11755: Excision of nail and nail bed, partial

Overview of CPT Code 11755: Excision of nail and nail bed, partial

CPT Code 11755 refers to the surgical procedure involving the partial excision of a nail and its underlying nail bed. This procedure is typically performed to address various nail disorders that cannot be treated effectively through conservative measures.

When CPT Code 11755 is Used?

This procedure is indicated in several clinical scenarios.

• Severe ingrown toenails causing pain and infection.
• Nail bed tumors or cysts that require removal.
• Chronic nail infections that do not respond to antibiotics.
• Nail dystrophies that lead to significant discomfort.

Symptoms Indicating This Procedure

Patients may report various symptoms that necessitate this procedure.

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

Causes and Risk Factors

Several factors can contribute to the need for this procedure.

• Trauma to the nail or nail bed.
• Genetic predisposition to nail disorders.
• Poor foot hygiene leading to infections.
• Underlying conditions such as diabetes or psoriasis.

Diagnostic Tests Before Procedure

Certain tests may be conducted to confirm the need for the procedure.

• Physical examination of the affected nail.
• Nail cultures to identify infections.
• Imaging studies like X-rays if trauma is suspected.

Procedure Description

The procedure involves several key steps.

• Administer local anesthesia to numb the area.
• Clean the affected nail and surrounding skin.
• Make an incision to partially remove the nail.
• Examine and excise any affected nail bed tissue.
• Suture the area if necessary and apply a sterile dressing.

Preparation for the Procedure

Patients should follow specific guidelines before the procedure.

• Avoid blood thinners and certain medications as advised.
• Do not eat or drink for a specified period if sedation is planned.
• Wear comfortable clothing and open-toed shoes on the day of the procedure.

Recovery and Aftercare

Post-procedure care is crucial for healing.

• Keep the area clean and dry for the first few days.
• Change the dressing as instructed by the healthcare provider.
• Take prescribed pain medications as needed.
• Avoid strenuous activities until cleared by the doctor.

Possible Complications

While generally safe, there are potential risks.

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

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Post-Procedure Follow-Up

Follow-up appointments are essential for monitoring recovery.

• Schedule a follow-up visit within one to two weeks post-procedure.
• Monitor for signs of infection or complications.
• Discuss any concerns regarding pain or healing with the provider.

Alternative Treatments

There are non-surgical options available.

• Topical antifungal or antibiotic treatments.
• Nail braces or splints for ingrown nails.
• Oral medications for underlying conditions.

Home Care Tips

Patients can take steps to aid recovery at home.

• Keep the foot elevated to reduce swelling.
• Avoid tight footwear that may irritate the area.
• Use over-the-counter pain relief as needed.

Patient Education & Prevention

Educating patients can help prevent recurrence.

• Maintain proper foot hygiene to prevent infections.
• Trim nails straight across to avoid ingrown nails.
• Seek prompt treatment for any nail abnormalities.

Billing and Coding Information

CPT Code: 11755

Category: Surgical Procedures

Common Modifiers:

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

Average Cost and Insurance Coverage

Costs can vary based on several factors.

• Average cost ranges from $300 to $800.
• Insurance may cover the procedure if deemed medically necessary.
• Check with your provider for specific coverage details.

Related CPT Codes

• 11730 - Removal of nail, partial or complete, any nail
• 11740 - Debridement of nail, partial or complete
• 11760 - Removal of nail, partial or complete

References and Sources

• American Academy of Dermatology
• American College of Foot and Ankle Surgeons