CPT® Code 11730

A simple avulsion of the nail plate, whether partial or complete, is a surgical procedure aimed at removing the nail plate from the nail bed. This procedure is typically performed when there is a need to address issues such as infection, trauma, or other conditions affecting the nail. During the procedure, a Freer elevator is carefully inserted beneath the edge of the nail plate, allowing the surgeon to lift the nail until a plane of cleavage is formed between the nail bed and the nail plate. This cleavage is then extended proximally to the nail matrix, which is the tissue under the base of the nail that produces new nail cells. The surgeon continues to manipulate the elevator in a side-to-side motion to free the lateral margins of the nail, ensuring that the nail is completely detached from the surrounding tissue. Once the lateral margins are adequately freed, the Freer elevator is inserted under the cuticle, and again moved side to side to facilitate the complete avulsion of the nail. Finally, the nail is grasped with a hemostat and removed using a rolling-twisting motion. It is important to note that this code, 11730, is specifically designated for a single nail plate avulsion, while 11732 should be used for each additional nail plate avulsed during the same session.