Find information on ingrown toenail diagnosis, including clinical documentation, medical coding (ICD-10 L60.0), and treatment options. Learn about onychocryptosis, paronychia, nail avulsion, and other related terms for accurate healthcare records. This resource provides guidance for physicians, nurses, and medical coders seeking best practices for documenting and coding ingrown toenails. Explore effective management strategies, complications, and prevention techniques for optimal patient care.
Also known as
Ingrowing nail
Ingrown nail, typically of the toe.
Diseases of the skin and subcu
Encompasses various skin and subcutaneous tissue disorders.
Diseases of appendages of skin
Covers conditions affecting hair, nails, and sweat glands.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the ingrowing toenail infected?
Yes
Is there cellulitis?
No
Is there other inflammation?
When to use each related code
Description |
---|
Ingrown toenail |
Onychocryptosis |
Paronychia |
Coding ingrown toenail without specifying right, left, or bilateral can lead to claim denials and inaccurate data reporting. Use L60.0 for unspecified.
Failing to document the stage (mild, moderate, severe) can impact reimbursement. CDI should query for specificity to support accurate coding.
Incorrectly coding a granuloma with the ingrown toenail when it should be a separate code (e.g., L91.0) leads to overcoding and compliance issues.
Patient presents with complaints consistent with ingrown toenail (onychocryptosis). The affected digit, the (rightgreat toe, leftgreat toe, rightsecond toe, etc.), exhibits (mild, moderate, severe) pain, erythema, edema, and (specify if any) purulent drainage. Onset of symptoms occurred (number) daysweeksmonths ago and is attributed to (ill-fitting footwear, improper nail trimming, trauma, genetic predisposition). Physical examination reveals (describe nail plate curvature, degree of nail penetration into the periungual skin, presence of granulation tissue, signs of infection). The diagnosis of ingrown toenail is confirmed based on clinical presentation. Treatment options discussed include conservative management with warm soaks, proper nail trimming techniques, and antibiotic ointment application if indicated. Surgical intervention such as partial or complete nail avulsion with or without matricectomy may be considered if conservative measures fail. Patient education provided regarding proper foot hygiene, appropriate footwear choices, and prevention of recurrence. Follow-up appointment scheduled in (number) weeks for reevaluation. ICD-10 code L60.0 (Onychocryptosis) is assigned.