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L03.019
ICD-10-CM
Paronychia

Learn about paronychia diagnosis, including causes, symptoms, and treatment. Find information on ICD-10 code L03.0 for acute paronychia and L03.1 for chronic paronychia, along with clinical documentation best practices for healthcare professionals. This resource covers paronychia treatment, nail infection, finger infection, toe infection, and abscess drainage, providing valuable insights for accurate medical coding and improved patient care.

Also known as

Nail infection
Perionychia

Diagnosis Snapshot

Key Facts
  • Definition : Infection of the skin fold around a fingernail or toenail.
  • Clinical Signs : Redness, swelling, pain, and pus around the nail. May have hangnail or ingrown nail.
  • Common Settings : Nail salons, frequent hand washing, nail biting, diabetes.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC L03.019 Coding
L03.0

Paronychia of finger

Acute or chronic infection of the fingernail fold.

L03.1

Paronychia of toe

Acute or chronic infection of the toenail fold.

L00-L08

Infections of the skin and subcutaneous tissue

Encompasses various skin infections, including paronychia.

Code-Specific Guidance

Decision Tree for

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

Is the paronychia acute?

  • Yes

    Is it specified as nonpurulent?

  • No

    Is it chronic?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Infection around the nail
Ingrown toenail
Onychomycosis

Documentation Best Practices

Documentation Checklist
  • Paronychia diagnosis documented
  • Location of paronychia (nail fold)
  • Acute or chronic paronychia specified
  • Presence/absence of pus noted
  • Causative agent if known (e.g., bacterial, fungal)

Coding and Audit Risks

Common Risks
  • Unspecified Laterality

    Coding paronychia without specifying laterality (right, left, bilateral) can lead to claim rejections and inaccurate data reporting. Use L98.12- for proper laterality coding.

  • Chronic vs. Acute

    Miscoding chronic paronychia (L03.0) as acute (L03.1-) impacts reimbursement and quality metrics. Accurate documentation is crucial for proper code assignment.

  • Missing Causative Agent

    Failing to document the cause of paronychia (e.g., bacterial, fungal) when known may hinder accurate severity assessment and statistical analysis. ICD-10-CM provides specific codes for different etiologies.

Mitigation Tips

Best Practices
  • Proper hand hygiene prevents infection (ICD-10 L03.0).
  • Avoid nail biting, meticulous cuticle care (SNOMED CT 703208002).
  • Dry hands thoroughly, wear gloves when needed (CDI query: occupation).
  • Early treatment, topical antimicrobials (CPT 10060, 10061) for mild cases.
  • Incision and drainage (CPT 10160, 26010, 26011) for abscess (HCC 188).

Clinical Decision Support

Checklist
  • Confirm localized infection around nail: redness, swelling, pain
  • Rule out felon, herpetic whitlow, other nail infections
  • Assess severity: mild, moderate, severe abscess
  • Document purulence, fluctuance if present
  • Consider comorbidities: diabetes, immunosuppression

Reimbursement and Quality Metrics

Impact Summary
  • Paronychia reimbursement hinges on accurate ICD-10 (L03.0) and CPT coding (e.g., 10060, 11720) for optimal payment.
  • Coding quality impacts paronychia infection tracking, affecting hospital quality reporting and potential value-based payments.
  • Miscoded paronychia can lead to claim denials, impacting revenue cycle and reimbursement rates.
  • Accurate documentation of paronychia severity and treatment supports appropriate billing and reduces audit risks.

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
  • ICD-10 L03.0 acute paronychia
  • ICD-10 L03.1 chronic paronychia
  • Document infection site, laterality
  • Specify cause if known (e.g., ingrown nail)
  • Consider Z89.4 personal hx of paronychia

Documentation Templates

Patient presents with paronychia, an acute or chronic infection of the nail fold.  Symptoms include periungual erythema, edema, tenderness, and pain at the affected digit.  The patient reports onset approximately [duration] ago, possibly associated with [potential causative factors such as nail biting, manicure, trauma, or underlying conditions like diabetes].  Physical examination reveals [describe specific findings: e.g., purulent drainage, fluctuance, abscess formation, granulation tissue, involvement of proximal or lateral nail fold].  Differential diagnosis includes felon, herpetic whitlow, ingrown toenail, and onychomycosis.  Diagnosis of paronychia is made based on clinical presentation.  Treatment plan includes [specify treatment: e.g., warm soaks, topical antibiotics such as mupirocin, oral antibiotics if indicated such as cephalexin or dicloxacillin, incision and drainage if abscess present].  Patient education provided on proper nail hygiene, avoidance of trauma, and follow-up care.  ICD-10 code L03.0 (acute paronychia) or L03.1 (chronic paronychia) is appropriate, along with relevant procedure codes if incision and drainage is performed.  Follow-up scheduled in [duration] to assess treatment response.