Facebook tracking pixel
L60.0
ICD-10-CM
Ingrown Toenail

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 foot conditions. Explore healthcare resources for proper ingrown toenail care and prevention.

Also known as

Onychocryptosis
Unguis Incarnatus
ingrown nail

Diagnosis Snapshot

Key Facts
  • Definition : Nail grows into the surrounding skin, causing pain, redness, and swelling.
  • Clinical Signs : Tenderness, inflammation, redness, swelling, drainage, granulation tissue.
  • Common Settings : Primary care, podiatry, urgent care, emergency room.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC L60.0 Coding
L03.0

Ingrowing nail

Ingrown toenail or fingernail.

L00-L08

Infections of the skin and...

Infections of skin and subcutaneous tissue.

L00-L99

Diseases of the skin and...

Encompasses various skin and subcutaneous tissue disorders.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the ingrown toenail infected?

  • Yes

    Cellulitis/abscess present?

  • No

    Code L60.0 (Ingrowing toenail)

Code Comparison

Related Codes Comparison

When to use each related code

Description
Ingrown toenail
Onychomycosis
Subungual hematoma

Documentation Best Practices

Documentation Checklist
  • Ingrown toenail diagnosis ICD-10 code (L60.0)
  • Affected toe (right/left, great toe/other)
  • Symptoms (pain, swelling, redness)
  • Clinical findings (nail plate curvature, embedded in skin)
  • Treatment plan (conservative/surgical)

Coding and Audit Risks

Common Risks
  • Unspecified Laterality

    Coding ingrown toenail without specifying right, left, or bilateral can lead to claim rejections and inaccurate data reporting for quality metrics.

  • Onychocryptosis vs. other nail disorders

    Incorrectly coding other nail disorders like onychomycosis or paronychia as onychocryptosis (ingrown toenail) can cause payment errors and compliance issues.

  • Missing Granuloma Code

    Failing to code the presence of a granuloma with the ingrown toenail diagnosis can result in underpayment and inaccurate reflection of severity for quality reporting.

Mitigation Tips

Best Practices
  • Proper ICD-10 coding (L60.0) for ingrown toenail ensures accurate reimbursement.
  • Document nail edge location, inflammation severity, and any drainage for CDI best practices.
  • Soak feet in warm water, avoid tight shoes to prevent recurrence. ICD-10: L60.0
  • Conservative treatment: proper nail trimming. Surgical intervention if conservative treatment fails.
  • Regular foot hygiene, diabetes management crucial for at-risk patients. HCC coding: E11.65

Clinical Decision Support

Checklist
  • Confirm localized pain, redness, swelling around toenail
  • Visualize nail plate edge embedded in skin fold
  • Assess for signs of infection pus drainage granulation tissue
  • Document severity mild moderate severe with ICD-10 L600
  • Evaluate patient risk factors footwear choices nail trimming

Reimbursement and Quality Metrics

Impact Summary
  • Ingrown Toenail: Reimbursement and Quality Metrics Impact Summary
  • ICD-10 L60.0: Coding accuracy impacts claim denial rates.
  • CPT 11730, 11750: Proper coding maximizes reimbursement for nail procedures.
  • Hospital reporting: Ingrown toenail complications affect quality metrics and resource utilization.
  • Patient outcomes data: Post-op infection rates influence hospital quality scores.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes for . Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • L60.0 for ingrown toenail
  • Specify laterality (left/right)
  • Document nail plate/fold involvement
  • Onychocryptosis for ICD-10
  • Granuloma pyogenicum if present

Documentation Templates

Patient presents with complaints consistent with ingrown toenail (onychocryptosis).  The affected digit, the (specify right or left) great toe, exhibits (specify lateral or medial) nail plate curvature with associated perionychial inflammation characterized by (specify erythema, edema, warmth, purulence, granulation tissue).  Pain is reported with (specify ambulation, shoe pressure, palpation).  Onset of symptoms occurred (specify timeframe) ago, potentially due to (specify contributing factors such as improper nail trimming, tight footwear, trauma, or genetic predisposition).  The patient denies fever, chills, or systemic symptoms.  Differential diagnosis includes paronychia, onychomycosis, and subungual hematoma.  Assessment confirms the diagnosis of ingrown toenail.  Treatment plan includes (specify conservative management such as warm soaks, elevation, proper nail trimming techniques or surgical intervention such as partial or total nail avulsion, wedge resection, with or without matrixectomy).  Patient education provided regarding proper foot hygiene, footwear recommendations, and signs of infection.  Follow-up appointment scheduled in (specify timeframe) to monitor healing progress and adjust treatment as needed.  ICD-10 code L60.0 (ingrowing nail) is assigned.
Ingrown Toenail - AI-Powered ICD-10 Documentation