Jerry, an established patient, is seen today for evacuation of a subungual hematoma of his left index finger, sustained while hanging a picture. The physician performs a problem-focused history and problem-focused examination to evaluate the extent of the damage and determines that evacuation of the hematoma is needed. He then evacuates the subungual hematoma. Select the appropriate ICD-10-CM and CPT code(s):

Question

Quizplus · Accepted Answer

The correct ICD-10-CM code for a subungual hematoma of the left index finger is S60.122A, indicating an initial encounter. The CPT code 11740 represents the evacuation of a subungual hematoma. The addition of 99212 for an established patient office visit is appropriate, but it requires modifier -25 to indicate that a significant, separately identifiable evaluation and management service was provided on the same day as the procedure.

Jerry, an Established Patient, Is Seen Today for Evacuation of a Subungual