Certified Professional Coder (CPC) Practice Test

What CPT code is assigned for the complete excision of a nail and nail matrix, including amputation of a tuft of distal phalanx?

1. 11752

2. 12013

3. 16030

4. 29425-LT

The correct answer is: 11752

The correct CPT code for the complete excision of a nail and nail matrix, including amputation of a tuft of distal phalanx, is 11752. This code specifically designates a procedure involving the complete removal of the nail and nail matrix and indicates that additional bone is also being removed — in this case, the tuft of the distal phalanx. When coding for nail procedures, it is important to choose codes that accurately reflect both the complexity and extent of the surgical procedure. Code 11752 captures the complete excision process comprehensively, encompassing both the nail and associated structures, which is critical for appropriate documentation and billing. The other options pertain to different types of procedures: Code 12013 relates to the layered closure of a complicated wound, 16030 refers to the application of a wound dressing for burns, and 29425-LT deals with a procedure specific to the knee region. None of these options denote the complete excision of a nail or its matrix, which is why they are not correct in this context. Understanding the specifics of each CPT code ensures proper coding and compliance with medical billing standards.