How To Use cpt 11719

cpt 11719 describes the trimming of nondystrophic nails, regardless of the number of nails being trimmed. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of cpt 11719.

1. What is cpt 11719?

cpt 11719 is a code used to describe the trimming of nondystrophic nails. This procedure involves the removal of excess nail length using instruments such as nail clippers. It is important to note that cpt 11719 can be used for the trimming of any number of nails, whether it is a single nail or multiple nails.

2. Official Description

The official description of cpt 11719 is: ‘Trimming of nondystrophic nails, any number.’

3. Procedure

  1. The healthcare provider assesses the nails of the fingers or toes to determine the need for trimming.
  2. The provider uses nail clippers or similar instruments to trim the nails, ensuring that the corner of the nail remains visible above the skin.
  3. If necessary, the provider may apply antiseptic or antibiotic to the nail and surrounding tissues to prevent infection.
  4. The procedure is performed on each nail that requires trimming, regardless of the number of nails involved.

4. Qualifying circumstances

cpt 11719 is applicable to individuals with nondystrophic nails, which refers to normally developed nails without any significant changes due to malnutrition, injury, disease, or other factors. The procedure is performed to maintain the health and appearance of the nails.

5. When to use CPT code cpt 11719

cpt 11719 should be used when a healthcare provider performs the trimming of nondystrophic nails, regardless of the number of nails being trimmed. It is important to note that this code is not appropriate for the treatment of dystrophic nails or for the removal of ingrown nails, as these conditions require different procedures and codes.

6. Documentation requirements

To support a claim for cpt 11719, the healthcare provider must document the following information:

  • Identification of the specific nails that were trimmed
  • Reason for the trimming procedure
  • Details of the procedure, including the instruments used
  • Any additional treatments or medications applied, if applicable
  • Date of the procedure
  • Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for cpt 11719, ensure that the procedure involves the trimming of nondystrophic nails. It is important to accurately report the number of nails that were trimmed. cpt 11719 should not be reported with other codes unless there are additional procedures or treatments performed during the same encounter.

8. Historical information

cpt 11719 was added to the Current Procedural Terminology system on January 1, 1998. There have been no updates or changes to the code since its addition.

9. Similar codes to cpt 11719

Five similar codes to cpt 11719 include:

  • cpt 11720: Debridement of nail(s) by any method(s); one to five
  • cpt 11721: Debridement of nail(s) by any method(s); six or more
  • cpt 11730: Avulsion of nail plate, partial or complete, simple; single
  • cpt 11732: Avulsion of nail plate, partial or complete, simple; each additional nail plate
  • cpt 11740: Evacuation of subungual hematoma

9. Examples

  1. A podiatrist trimming the nails of a patient with normally developed nails on both feet.
  2. A dermatologist performing the trimming procedure on a patient’s fingernails.
  3. A nurse providing nail trimming services to a patient in a long-term care facility.
  4. A primary care physician performing the procedure on a patient’s toenails during a routine check-up.
  5. A nail technician trimming the nails of a client during a manicure or pedicure session.
  6. A parent trimming the nails of their child at home.
  7. A healthcare provider performing the procedure on a patient with nondystrophic nails due to a medical condition.
  8. A nurse performing the trimming procedure on a patient’s nails in a hospital setting.
  9. A home health aide providing nail care services to an elderly patient.
  10. A healthcare provider performing the procedure on a patient with nondystrophic nails as part of a cosmetic treatment.

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