For the avulsion of four nail plates, which code(s) should be reported?

When coding for the avulsion of four nail plates, the correct choice is to use the codes that specifically relate to the procedures for nail plate avulsions. The procedure of avulsion, which involves the removal of a nail plate, is covered under the CPT codes in the range for nail procedures.

In this case, the primary code for the avulsion of a single nail plate is 11730. Since four nail plates are being avulsed, you would report 11730 for the first nail plate and additional codes for the subsequent plates. The correct coding pattern here is to report the primary code for the first avulsion and then use the appropriate modifier for additional similar procedures.

In this answer, 11730 is the initial procedure code, while 11732 is the correct code for each additional avulsion after the first. Therefore, reporting 11730 for the first avulsion and 11732 for each of the remaining three plates accurately captures the total procedures performed. This method ensures proper coding according to CPT guidelines, which also emphasize the need to report initial and subsequent procedures distinctly for clarity and accuracy in billing.

The other options do not relate to the procedure of nail plate avulsion and therefore would not be appropriate in this context.