Full Answer
Article revised and published on 04/18/2019 to add the CPT and ICD-10 codes from the related LCD, L34887 Surgical Treatment of Nails, in response to CMS Change Request 10901. The article was reformatted to place pertinent information toward the beginning of the article.
Ingrowing nail with infection; Ingrowing toenail; Ingrown nail; Ingrown toenail; Ingrown toenail, infected; Left ingrown toenail; Left ingrown toenail with infection; Right ingrown toenail; Right ingrown toenail with infection ICD-10-CM Diagnosis Code T81.517A [convert to ICD-9-CM]
CPT code 11765 requires an excision of a wedge of the skin of the nail fold from the involved side of the toe. Reporting CPT code 11765 for the removal of a small piece of the skin and/or the nail without local anesthesia is not correct coding.
CPT code 11765 requires an excision of a wedge of the soft tissue and ingrown nail from the involved side of the toe. The removal of a small piece of the nail should not be reported with CPT code 11765. In order for payment to be considered, the nail being treated must be identified using one of the following modifiers.
0HBRXZZICD-10-PCS code 0HBRXZZ for Excision of Toe Nail, External Approach is a medical classification as listed by CMS under Skin and Breast range.
Other specified postprocedural statesICD-10 code Z98. 89 for Other specified postprocedural states is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
The patient's primary diagnostic code is the most important. Assuming the patient's primary diagnostic code is Z76. 89, look in the list below to see which MDC's "Assignment of Diagnosis Codes" is first.
ICD-10-CM Code for Ingrowing nail L60. 0.
ICD-10-CM Code for Encounter for surgical aftercare following surgery on specified body systems Z48. 81.
85.
Codes from category Z15 should not be used as principal or first-listed codes.
Z codes may be used as either a first-listed (principal diagnosis code in the inpatient setting) or secondary code, depending on the circumstances of the encounter. Certain Z codes may only be used as first-listed or principal diagnosis.
ICD-10 code: Z76. 9 Person encountering health services in unspecified circumstances.
Avulsion of a nail involves separation and removal of the entire nail plate or a portion of nail plate and an excision of the nail and the nail matrix is generally performed under local anesthesia requiring separation and removal of the entire nail plate or a portion of nail plate and is a permanent removal.
Definition: 11750: Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal; Lay Description: The physician removes all or part of a fingernail or toenail, including the nail plate and matrix permanently.
Losing a toenail or fingernail because of an injury is called avulsion. The nail may be completely or partially torn off after a trauma to the area. Your doctor may have removed the nail, put part of it back into place, or repaired the nail bed. Your toe or finger may be sore after treatment.
Z76. 89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
You can't code or bill a service that is performed solely for the purpose of meeting a patient and creating a medical record at a new practice.
Z00.00ICD-10 Code for Encounter for general adult medical examination without abnormal findings- Z00. 00- Codify by AAPC.
Having a high amount of body fat (body mass index [bmi] of 30 or more). Having a high amount of body fat. A person is considered obese if they have a body mass index (bmi) of 30 or more.
The debridement of nails is the removal of nail substance, partial or complete, when the presence of such structures is causing local pathology. It is a temporary reduction in the size or girth of an abnormal nail plate, short of avulsion. It is performed most commonly without anesthesia to accomplish any or all of the following objectives:
CPT is provided “as is” without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. AMA warrants that due to the nature of CPT, it does not manipulate or process dates, therefore there is no Year 2000 issue with CPT. AMA disclaims responsibility for any errors in CPT that may arise as a result of CPT being used in conjunction with any software and/or hardware system that is not Year 2000 compliant. No fee schedules, basic unit, relative values or related listings are included in CPT. The AMA does not directly or indirectly practice medicine or dispense medical services. The responsibility for the content of this file/product is with CMS and no endorsement by the AMA is intended or implied. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. This Agreement will terminate upon no upon notice if you violate its terms. The AMA is a third party beneficiary to this Agreement.