11765 Wedge excision skn nail fold
Wedge excision of the nail fold involving removal of a triangular wedge of tissue from the skin fold adjacent to the nail, typically performed to correct nail deformities or remove diseased tissue.
In Plain Language
Nail fold surgery; Wedge removal from nail area
Clinical Context
Used to treat nail fold disorders, paronychia complications, or nail bed abnormalities. This procedure removes damaged tissue to improve nail health and function.
RVU Breakdown
| Work RVU | 1.19 |
| Total RVU | 1.19 |
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 10-day global period — follow-up visits within 10 days of the procedure are included in the reimbursement. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 1.19, this code ranks in the 6th percentile among Surgery codes — 6.7x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 11765?
CPT 11765 (Wedge excision skn nail fold) is a Surgery code. Wedge excision of the nail fold involving removal of a triangular wedge of tissue from the skin fold adjacent to the nail, typically performed to correct nail deformities or remove diseased tissue.
What is the wRVU value for CPT 11765?
The work RVU for CPT 11765 is 1.19. This code is primarily used by General Surgery, Dermatology. It has a 10-day global period.
When is CPT 11765 used?
Used to treat nail fold disorders, paronychia complications, or nail bed abnormalities. This procedure removes damaged tissue to improve nail health and function.
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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.