11755 Biopsy nail unit
Also known as: nail biopsy, nail unit biopsy
Biopsy of nail unit. Collection of tissue sample from nail plate, nail bed, or nail matrix for histopathological examination.
In Plain Language
nail tissue sample; testing nail growth area
Clinical Context
Used for evaluation of nail discoloration, dystrophy, or suspected malignancy to obtain tissue diagnosis.
RVU Breakdown
| Work RVU | 1.22 |
| Total RVU | 1.22 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 1.22, this code ranks in the 6th percentile among Surgery codes — 6.6x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 11755?
CPT 11755 (Biopsy nail unit) is a Surgery code. Biopsy of nail unit. Collection of tissue sample from nail plate, nail bed, or nail matrix for histopathological examination.
What is the wRVU value for CPT 11755?
The work RVU for CPT 11755 is 1.22. This code is primarily used by Dermatology, Pathology, Podiatry.
When is CPT 11755 used?
Used for evaluation of nail discoloration, dystrophy, or suspected malignancy to obtain tissue diagnosis.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.