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toe nail excision, drainage of toe pad abscess, digial block

Robert Posted Tue 18th of January, 2011 01:24:35 AM

The cpt for a digital block appears to be 64450, excision of a complex nail plate is 11750, and drainage of a sub-fascia abscess appears to be a 10061. None of these codes appear bundled, but when both digital nerves are blocked, I believe the 64450-51 code is used.
Whereas the single nerve block 64450 pays around $118.00, when the -51 modifier follows as 64450-51, the fee reimbursed is $0.00. Does anyone with podiatry experience know how to code bilateral digital block, excision of complex nail and I&D of plantar toe abscess (talon)? Thanks in advance.

SuperCoder Answered Tue 18th of January, 2011 14:15:48 PM

Code 64450, 10061 and 11750 has bundling issues between them. So as per CCI edit 64450 is considered as part of these surgical codes (10061, 11750)so it was not reimbursed.

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