CPT® Code 11765

A wedge excision of the skin of the nail fold is a surgical procedure primarily aimed at treating an ingrown toenail, a condition where the edge of the toenail grows into the surrounding skin, often leading to pain, swelling, and infection. This procedure is particularly indicated for patients experiencing chronic infections that result in diseased tissue along the nail fold. During the wedge excision, a precise incision is made at the nail fold, allowing for the removal of a wedge-shaped section of the affected tissue. This excision helps alleviate the pressure and irritation caused by the ingrown toenail. After the excision, the wound is intentionally left open to heal by secondary intention, which means that the body will naturally close the wound over time without the need for sutures. To promote healing and prevent infection, antibiotic ointment is applied to the area, followed by a protective dressing. This approach not only addresses the immediate issue of the ingrown toenail but also facilitates a more natural healing process for the surrounding skin.