icd 9 code for nail bed laceration

Full Answer

What is the ICD 10 code for nail laceration?

S61.311A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Laceration w/o fb of l idx fngr w damage to nail, init The 2021 edition of ICD-10-CM S61.311A became effective on October 1, 2020.

What is the ICD 9 code for nail NEC?

Short description: Diseases of nail NEC. ICD-9-CM 703.8 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 703.8 should only be used for claims with a date of service on or before September 30, 2015.

What is the ICD 9 code for open wound of finger?

Open wound of finger (s), without mention of complication Short description: Open wound of finger. ICD-9-CM 883.0 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 883.0 should only be used for claims with a date of service on or before September 30, 2015.

What is the CPT code for nail bed removal?

Code Information. 86.23 - Removal of nail, nail bed, or nail fold. The above description is abbreviated. This code description may also have Includes, Excludes, Notes, Guidelines, Examples and other information.

What is the ICD-10 code for nail bed injury?

309A: Unspecified open wound of unspecified finger with damage to nail, initial encounter.

What is icd9 code for finger laceration?

ICD-9 Choices for finger laceration = 883.0, 883.1, 883.2.

What is the correct code for a patient seen today for a left index finger nail avulsion?

Procedure code 11730 (Avulsion of nail plate, partial or complete, simple; single) is reported when removing part of the nail plate or the entire nail plate.

What is the ICD-10 code for ring finger laceration?

S61.214AS61. 214A - Laceration without foreign body of right ring finger without damage to nail [initial encounter] | ICD-10-CM.

How do you code an unspecified wound?

8-, “other injury of unspecified body region,” or T14. 9-, “injury, unspecified,” because these codes don't describe the location or type of wound. These injury codes require a 7th character to indicate the episode of care.

How do you code a skin tear in ICD-10?

To code skin tears, begin in the alphabetic index under “INJURY, SUPERFICIAL,” and iden- tify the site of the injury. For example, if the patient has a skin tear because he or she has hit a leg on a wheelchair, look up Injury, Su- perficial, leg, which takes you to S80. 92-.

What is nail bed 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.

What is the CPT code for repair of nail bed?

11760There is a code for a lacerated nail bed repair- the correct CPT code to bill is 11760 (repair of nail bed).

What is a nail bed?

The nail bed supports the hard part of your nail as it grows. It includes the hyponychium and the onychodermal. These are layers of tissue that prevent pathogens from infecting the skin underneath your nail plate. Nails also consists of the nail matrix.

Is the index finger?

The index finger (also referred to as forefinger, first finger, pointer finger, trigger finger, digitus secundus, digitus II, and many other terms) is the second digit of a human hand. It is located between the thumb and the middle finger....Index fingerTA2152FMA24946Anatomical terminology8 more rows

What K57 92?

ICD-10 code: K57. 92 Diverticulitis of intestine, part unspecified, without perforation, abscess or bleeding.

What is the ICD-10 code for dog bite?

W54.0XXAICD-Code W54. 0XXA is a billable ICD-10 code used for healthcare diagnosis reimbursement of Bitten by Dog, Initial Encounter.

What is the CPT code for trimming of Nondystrophic nails?

11719Group 1CodeDescription11719TRIMMING OF NONDYSTROPHIC NAILS, ANY NUMBER11720DEBRIDEMENT OF NAIL(S) BY ANY METHOD(S); 1 TO 511721DEBRIDEMENT OF NAIL(S) BY ANY METHOD(S); 6 OR MOREG0127TRIMMING OF DYSTROPHIC NAILS, ANY NUMBER3 more rows

What is the CPT code for excision of a 3.2 cm benign lesion of the trunk?

The correct code is 11603 Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 2.1 to 3.0 cm.

Look to Depth For Laceration Repair

Finger laceration is a very common ED presentation. Lacerations involving only the skin and sparing more specialized nail structures and deeper tis...

Apply Nail Bed, Avulsion Codes With Care

Some fingertip lacerations may involve the nail bed. Nail bed repair generally requires the use of absorbable sutures such as Vicryl, chromic, or g...

Contusions and More Call For Dedicated Coding

Crush injuries may result in a wide range of injuries from contusion to maceration and open fracture.Contusions involving the nail area may result...

Include Digital Block in Overall Procedure

Many finger injuries require local anesthesia for pain control. Frequently, the ED physician may provide the anesthesia as a digital block. Digital...

What is the ED code for finger laceration?

Superficial repairs involving uncontaminated wounds, closed with a single layer, are reported with codes 12002-12007 and are based on the laceration length. For example, 12001 Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet) 2.5 cm or less is appropriate for wounds less than 2.5 cm in length, and 12002 Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet) 2.6 cm to 7.5 cm is appropriate for lacerations between 2.6 cm and 7.5 cm.#N#Closure with simple laceration repair is generally performed with non-absorbable suture material, such as nylon, Ethilon, or Prolene. Alternately, the physician may use tissue adhesive, which is also reported with the simple laceration repair CPT ® codes for non-Medicare patients. Medicare, however, requires G0168 Wound closure utilizing tissue adhesive (s) only use for reporting single layer tissue adhesive repairs.#N#If the wound is heavily contaminated or requires a layered closure, move from the simple repair codes to intermediate codes 12041-12047. Final code selection depends on laceration or repair length. If tissue adhesive is used in addition to suture material, the repair is reported with the 12041-12047, as appropriate to wound length, for both Medicare and non-Medicare payers.#N#Note that when tendon repairs are performed, musculoskeletal section codes, such as 26418 Repair of extensor tendon, finger, primary or secondary; without free graft, each tendon, should be reported.

What sutures are used for nail bed repair?

Nail bed repair generally requires the use of absorbable sutures such as Vicryl, chromic, or gut utilized in a single layer repair (11760 Repair of nail bed ). Occasionally the physician needs to remove the nail to allow for access to the nail bed for repair.

What is a fingertip injury?

The finger is composed of many tissue types. Injuries to the fingertip may involve the skin, nail bed, nails, blood vessels, nerves, bone, or any combination of these tissues. Patients with fingertip injuries frequently seek treatment in the emergency department (ED).

What is debridement in a wound?

Debridement may include subcutaneous tissue alone, or muscle and even bone. Severely damaged tissue may result in the need for bone debridement and finger shortening to allow for tissue to close the wound, as noted by bone roungering and flap creation.

What is a crush injury?

Crush injuries may result in a wide range of injuries from contusion to maceration and open fracture. #N#Contusions involving the nail area may result in a subungual hematoma. Bleeding under the nail can result in increased pressure and pain. The physician may elect to drain this hematoma either through drilling or cautery. These procedures—which might also be documented as a “trephination”—would be reported with 11740 Evacuation of subungual hematoma.#N#Macerated tissue may require debridement. The physician will perform extensive cleaning and explore the wound for additional injuries. Debridement may include subcutaneous tissue alone, or muscle and even bone. Severely damaged tissue may result in the need for bone debridement and finger shortening to allow for tissue to close the wound, as noted by bone roungering and flap creation. A wound requiring this repair level would be reported with 11044 Debridement; skin, subcutaneous tissue, muscle, and bone or 11012 Debridement; skin, subcutaneous tissue, muscle fascia, muscle, and bone if associated with open fracture.#N#Fingertip crush injuries may also result in distal phalanx fracture. When applying ICD-9-CM codes, finger fractures are identified by location (proximal, middle, and distal phalanx) and may be reported as open or closed. For instance, code 816.02 Closed fracture of distal phalanx or phalanges of hand represents closed fracture of distal phalanx.#N#Fracture care procedures are differentiated by manipulation, location, and procedure type. These codes are also identified as open or closed procedures, and with or without anesthesia. Open procedures refer to surgical incision to repair the fracture. Coders should be aware that procedures identified as “open” and/or “with anesthesia” are generally reserved for the operating room and do not fit into the scope of this article.#N#Fractures involving fingertip injuries generally affect the distal or possibly the middle phalanx. Fracture treatments may range from stabilization to definitive care. Stabilization would include temporary splinting while the patient awaits definitive care. Splints are reported with 29130 Application of finger splint; static for finger splint and 29125 Application of short arm splint (forearm to hand); static for short arm splint.#N#A thumb spica splint is considered a short arm splint, and would be reported with 29125.#N#Fractures requiring manipulation represent definitive care. For example, reduction of a displaced fracture of the finger’s proximal phalanx would be reported with 26725 Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; with manipulation. In this case, splinting is considered bundled in fracture care and should not be reported separately.

How to fix nail bed laceration?

Nail bed laceration repair should start with a digital block. There are multiple studies showing that the single injection, volar digital nerve block provides the same analgesia as the traditional method of injecting into the web space on either side of the digit.4-8 This technique involves either injecting lidocaine into the flexor tendon sheath – called a transthecal block – or into the subcutaneous tissue at the fold of the MCP joint. Both techniques are equally efficacious, with the subcutaneous injection being slightly easier.9-11 See these two posts for examples of how to perform each CoreEM – Transthecal Block and ALiEM – Subcutaneous Volar Block.

What is nail margin?

The nail margins just refer to the lateral nail folds, or paronychium, which serve to stabilize the nail plate. So, if the nail plate is intact and relatively well-attached to the nail bed (by intact nail margins), repair is unnecessary and simple trephination is recommended. How do I repair the nail bed?

Can an eponychium be splinted open?

This allows room for the new nail plate to grow. If the eponychium is not splinted open it will adhere to the nail bed, and the new nail plate growing from the nail matrix will be unable to progress distally.

Can you use skin adhesive glue on a nail?

Explore the nail bed thoroughly and suture any lacerations with 6-0 absorbable sutures. Alternatively, you can use skin adhesive glue for the repair.12 If the patient’s nail plate is sufficiently intact, you should clean it and replace it between the eponychium (cuticle) and the nail bed in order to splint open the eponychium.

Can you suture the nail plate to the hyponychium?

You can suture the nail plate to the eponychium with two simple interrupted 5-0 nonabsorbable sutures (or one 5-0 nonabsorbable horizontal mattress) and maybe one simple suture at the hyponychium (the tip of the finger) to further stabilize.

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 the ICd 10 code for laceration without foreign body?

Laceration without foreign body of left index finger with damage to nail, initial encounter 1 S61.311A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 Short description: Laceration w/o fb of l idx fngr w damage to nail, init 3 The 2021 edition of ICD-10-CM S61.311A became effective on October 1, 2020. 4 This is the American ICD-10-CM version of S61.311A - other international versions of ICD-10 S61.311A may differ.

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.

When will the ICD-10-CM S61.311A be released?

The 2022 edition of ICD-10-CM S61.311A became effective on October 1, 2021.

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.

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.

How many services can Medicare cover for CPT code 11730?

Medicare will allow ten services per beneficiary per 24 months for CPT codes 11730 and/or 11732. Payment for services beyond this number will require medical review of patient records to determine medical necessity.

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.