icd 10 code for left great toenail avulsion

by Lavina Rath 5 min read

S91.202A

What is the ICD 10 code for nail avulsion?

ICD-10-CM Diagnosis Code S91.209A [convert to ICD-9-CM] Unspecified open wound of unspecified toe(s) with damage to nail, initial encounter. Unsp open wound of unsp toe(s) w damage to nail, init encntr; Avulsion of left toenail; Avulsion of right toenail; Avulsion of toenail; Left toenail avulsion; Right toenail avulsion.

What is the ICD 10 code for fracture of left great toe?

S92.492D is a valid billable ICD-10 diagnosis code for Other fracture of left great toe, subsequent encounter for fracture with routine healing . It is found in the 2021 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2020 - Sep 30, 2021 .

How do I code an open wound on the left toe?

To code a diagnosis of this type, you must use specify a 7th character that describes the diagnosis 'unspecified open wound of left great toe with damage to nail' in more detail. The 7th characters that can be added, and the resulting billable codes, are as follows:

What is the CPT code for nail plate removal?

Group 1 Code Description 11730 Removal of nail plate 11732 Remove nail plate add-on 11750 Removal of nail bed 11765 Excision of nail fold toe

image

What is a toenail avulsion?

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.

What is the ICD-10 code for ingrown toenail left great toe?

ICD-10-CM Code for Ingrowing nail L60. 0.

What is the ICD-10 code for great toe?

ICD-10 code M79. 67 for Pain in foot and toes is a medical classification as listed by WHO under the range - Soft tissue disorders .

How do you treat an avulsion toenail?

Self-care:Keep your nail area clean, dry, and covered. ... Elevate your hand or foot above the level of your heart as often as you can for 24 hours. ... Apply ice on your wound area for 15 to 20 minutes every hour or as directed. ... Do not wear tight shoes or shoes that do not fit well.More items...•

What is the main term for ingrowing toenail left great toe?

An ingrown nail, also known as onychocryptosis from Greek: ὄνυξ (onyx) 'nail' and κρυπτός (kryptos) 'hidden', is a common form of nail disease. It is an often painful condition in which the nail grows so that it cuts into one or both sides of the paronychium or nail bed.

What is the ICD 10 code for toenail removal?

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.

What is the ICD-10 code for right great toe pain?

M79. 674 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM M79.

What is the ICD-10 code for onychomycosis?

ICD-10-CM Code for Tinea unguium B35. 1.

What is the ICD-10 code for Struck by falling object?

W20ICD-10 Code for Struck by thrown, projected or falling object- W20- Codify by AAPC.

What does avulsion mean?

a forcible separation or detachmentDefinition of avulsion : a forcible separation or detachment: such as. a : a tearing away of a body part accidentally or surgically.

What is the difference between avulsion and Excision of nail?

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.

What does avulsion mean in medical terms?

Avulsion: Tearing away. A nerve can be avulsed by an injury, as can part of a bone.

How long does a nail avulsion take to heal?

The wound should heal within a few weeks. If completely removed, fingernails may take 6 months to grow back. Toenails may take 12 to 18 months to grow back.

Do toenails grow back after avulsion?

Following surgical avulsion, the combined range of regrowth for both fingernails and toenails has been observed at 5 to 10 months. Elsewhere it is estimated that surgically avulsed fingernails in the average adult will completely regrow in 4 to 5 months, whereas toenails require twice as long, 10 to 18 months.

How do you take care of your toe after toenail removal?

Gently dry the area and apply antibiotic ointment after showering. Avoid baths, swimming, or soaking the toe for the next 2 weeks. Try to keep the toe clean and dry. Your bandage will help to pad and protect the wound, while absorbing drainage from the wound.

What causes nail avulsion?

A nail bed avulsion is when your nail and part of your nail bed are pulled away from the rest of your finger. It commonly happens to your ring finger and is caused by your finger getting stuck or jammed in something. Nail bed avulsions are very painful and cause your finger to swell.

When will the ICD-10-CM S91.209A be released?

The 2022 edition of ICD-10-CM S91.209A became effective on October 1, 2021.

What is the secondary code for Chapter 20?

Use secondary code (s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code. Type 1 Excludes.

What is an ingrown nail?

An ingrown nail is growth of the nail edge into the surrounding soft tissue that may result in pain, inflammation or infection. This condition most commonly occurs in the great toes and may require surgical management. Other conditions may also require avulsion of part or all of a nail.

How long does it take for a nail to grow back?

Regrowth of the nail usually requires at least four months. With appropriate surgical management and instruction for proper shoes and nail care, the problem of ingrowing nails should not recur. The surgical treatment of nails is also covered for the following indications: Subungal abscess. Contusion injuries of nails.

What is CPT code 11750?

Excision of the nail and the nail matrix (CPT code 11750) performed under local anesthesia requiring separation and removal of the entire nail plate or a portion of nail plate (including the entire length of the nail border to and under the eponychium) followed by destruction or permanent removal of the associated nail matrix.

Can a nail avulsion be temporary?

Nail avulsions usually offer only temporary relief for ingrown toenails. The nail often grows back to its original thickness and the offending margin again may become problematic, resulting in another nail avulsion. Therefore, a partial or complete excision of nail and nail matrix may be the preferred course of treatment for recurrent ingrown nails.

Is it appropriate to have an ingrown toenail removed?

The surgical treatment of ingrown nails is considered to be medically appropriate and reasonable for an ing rown toenail in the advanced stage in which the lateral nail fold bulges over the nail plate causing erythema, edema, and tenderness, and granulation of the epithelium inhibits serous drainage and precludes any chance of elevating the nail edge from the dermis of the lateral skin fold.

Can you get anesthesia for a nail avulsion?

A nail avulsion usually requires injected local anesthesia except in instances wherein the digit is devoid of sensation or there are other extenuating circumstances for which injectable anesthesia is not required or is medically contraindicated.

Is nail spicule routine foot care?

Treatment of simple uncomplicated or asymptomatic ingrown nail such as removal of a nail spicule may be considered to be routine foot care as are other trimming, cutting, clipping and debriding of a nail distal to the eponychium. Routine foot care is covered only when certain systemic conditions are present. (Refer to LCD: Routine Foot Care).

General Information

CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

Article Guidance

Refer to the Novitas Local Coverage Determination (LCD) L34887, Surgical Treatment of Nails, for reasonable and necessary requirements. The Current Procedural Terminology (CPT)/Healthcare Common Procedure Coding System (HCPCS) code (s) may be subject to National Correct Coding Initiative (NCCI) edits.

ICD-10-CM Codes that Support Medical Necessity

It is the provider’s responsibility to select codes carried out to the highest level of specificity and selected from the ICD-10-CM code book appropriate to the year in which the service is rendered for the claim (s) submitted.

ICD-10-CM Codes that DO NOT Support Medical Necessity

All those not listed under the "ICD-10Codes that Are Covered” section of this article.

Bill Type Codes

Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.

Revenue Codes

Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.

What is 7th Character Extension?

For codes less than 6 characters that require a 7th character a placeholder 'X' should be assigned for all characters less than 6. The 7th character must always be the 7th position of a code. E.g. The ICD-10-CM code T67.4 (Heat exhaustion due to salt depletion) requires an Episode of Care identifier.

ICD-10-CM Alphabetical Index References for 'S91.202 - Unspecified open wound of left great toe with damage to nail'

The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code S91.202. Click on any term below to browse the alphabetical index.

What is the ICd 10 code for a fracture of the left great toe?

S92.492D is a valid billable ICD-10 diagnosis code for Other fracture of left great toe, subsequent encounter for fracture with routine healing . It is found in the 2021 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2020 - Sep 30, 2021 .

Is S92.492D a POA?

S92.492D is exempt from POA reporting ( Present On Admission).

image