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CPT 11720: Surgical Debridement or Removal of 1–5 Nails
CPT code 11720 designates the surgical debridement or removal of 1 to 5 abnormal, diseased, or infected nails. This minor surgical procedure is commonly used to treat painful, infected, or chronically abnormal nails and is performed in ambulatory settings such as offices, outpatient clinics, and ambulatory surgical centers. Nationally, 11720 matters because it intersects common podiatry and dermatology practice patterns, outpatient surgical capacity, and payer coverage variability for minor surgical services.
Key payers in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of clinical context for the procedure, typical sites of service, and commonly billed modifiers (provided separately). The publication summarizes payment benchmarks and reimbursement considerations, outlines coding relationships to related minor surgical procedures, and highlights policy updates or coverage nuances relevant to payers and providers. The content aims to inform billing staff, practice managers, and clinicians about claims submission expectations, documentation points tied to surgical nail removal, and typical administrative issues that can affect adjudication and reimbursement. Data not available in the input for some fields is noted where applicable.
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Billing Code Overview
CPT code 11720 describes the surgical debridement (debulking or removal) of 1 to 5 abnormal, diseased, or infected nails. This procedure is a minor surgical service performed to remove part or all of one or more toenails or fingernails affected by disease, deformity, infection, or chronic abnormality.
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Service type: Surgical nail debridement/partial or complete nail removal
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Typical site of service: Office, outpatient clinic, or ambulatory surgical center where minor surgical procedures are performed