April 13, 2017

We perform a great deal of nail clippings for patients with fungus in our office.  At present we have not been charging for this.  Is there a CPT code for this service?

For nail trimming or clippings, the CPT code is 11719 – Trimming of nondystrophic nails, any number.  However most insurance companies don’t’ reimburse for this CPT code.  However, if you are evaluating the patient or seeing the patient in follow up, you might want to bill an evaluation and management service instead of 11719.

*This response is based on the best information available as of 04/13/17.


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