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Two weeks ago, a 32-year-old male suffered a thumb injury at work. He was using a belt grinder on a small piece of steel when the belt caught the tip of his left thumb in the grinder. His thumb was ground down to the tip, his thumb nail was removed and a small piece of his anterior phalange bone was broken off. The patient has an appointment scheduled today to see if his nail bed on his left thumb can be reconstructed using a graft from his left great toe. What is code for this procedure?
  1. 11760-LT
  2. 11765
  3. 11762-LT
  4. 11730, 11732
Explanation
Answer: C - The appropriate code for this procedure is 11762-LT (Reconstruction of the Nail Bed with Graft). The physician is planning on using a graft of the nail bed from the left great toe, therefore the code 11760-LT would not be correct because it only applies to the unspecified repair of the nail bed not a repair performed with a graft.
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