© Copyright 2025 American Medical Association. All rights reserved.
The procedure described by CPT® Code 11762 involves the reconstruction of the nail bed using a graft. This surgical intervention is typically performed to address injuries to the nail bed that may result from lacerations, which can compromise the integrity and appearance of the nail. The primary goal of this procedure is to prevent deformity of the nail bed, ensuring proper healing and restoration of function. During the procedure, the distal portion of the nail plate may be avulsed, allowing the surgeon to inspect the underlying nail matrix while preserving as much of the proximal nail plate as possible. In cases of more complex lacerations, complete avulsion of the nail may be necessary prior to the reconstruction process. The injured nail tissue undergoes thorough irrigation and debridement to remove any damaged or necrotic tissue. Following this, the reconstruction involves the application of a graft, which can be derived from the same nail or the great toe, or may utilize other types of grafts such as split or full thickness nail bed grafts, split thickness skin grafts, or reverse dermal grafts. The graft is meticulously harvested, shaped, and positioned over the injured area to facilitate optimal healing. Finally, the reconstructed nail bed is covered with a nonadherent dressing to protect the site during the recovery process.
© Copyright 2025 Coding Ahead. All rights reserved.
The procedure described by CPT® Code 11762 is indicated for the following conditions:
The procedure for CPT® Code 11762 involves several critical steps to ensure effective reconstruction of the nail bed:
After the reconstruction of the nail bed using CPT® Code 11762, post-procedure care is essential for optimal healing. Patients are typically advised to keep the dressing intact and dry for a specified period, as directed by the healthcare provider. Follow-up appointments may be scheduled to monitor the healing process and assess the integration of the graft. Patients should be informed about signs of infection or complications, such as increased pain, swelling, or discharge from the surgical site, and instructed to seek medical attention if these occur. Additionally, restrictions on activities that may stress the nail bed, such as heavy lifting or vigorous exercise, may be recommended during the recovery phase to ensure the best possible outcome.
| Short Descr | RECONSTRUCTION OF NAIL BED | Medium Descr | RECONSTRUCTION NAIL BED W/GRAFT | Long Descr | Reconstruction of nail bed with graft | Status Code | Active Code | Global Days | 010 - Minor Procedure | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 1 - Statutory payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Procedure or Service, Multiple Reduction Applies | ASC Payment Indicator | Office-based surgical procedure added to ASC list in CY 2008 or later with MPFS nonfacility PE RVUs; payment based on MPFS nonfacility PE RVUs. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P6A - Minor procedures - skin | MUE | 2 | CCS Clinical Classification | 175 - Other OR therapeutic procedures on skin and breast |
| T5 | Right foot, great toe | TA | Left foot, great toe | 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 78 | Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.) | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | F1 | Left hand, second digit | F2 | Left hand, third digit | F3 | Left hand, fourth digit | F4 | Left hand, fifth digit | F5 | Right hand, thumb | F6 | Right hand, second digit | F7 | Right hand, third digit | F8 | Right hand, fourth digit | F9 | Right hand, fifth digit | FA | Left hand, thumb | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) | T1 | Left foot, second digit | T2 | Left foot, third digit | T4 | Left foot, fifth digit | T6 | Right foot, second digit | T7 | Right foot, third digit | T8 | Right foot, fourth digit | T9 | Right foot, fifth digit | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
|
Date
|
Action
|
Notes
|
|---|---|---|
| Pre-1990 | Added | Code added. |
Get instant expert-level medical coding assistance.