Non- dystrophic nails are generally considered bundled with other services such as the E/M Visit. If they are dystrophic, there are other codes that must be considered such as a systemic disease, an illness, or accident, this is generally the only reason cutting or trimming of non-dystrophic may be covered. I would suggest reviewing the policy or LCD pertaining to the payer being billed. Those may be billed with G0127 or 11719, then any nail disorders are coded under L60.-
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