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
Paronychia of finger
Acute or chronic infection of the fingernail fold.
Paronychia of toe
Acute or chronic infection of the toenail fold.
Infections of the skin and subcutaneous tissue
Encompasses various skin infections, including paronychia.
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?
When to use each related code
Description |
---|
Infection around the nail |
Ingrown toenail |
Onychomycosis |
Coding paronychia without specifying laterality (right, left, bilateral) can lead to claim rejections and inaccurate data reporting. Use L98.12- for proper laterality coding.
Miscoding chronic paronychia (L03.0) as acute (L03.1-) impacts reimbursement and quality metrics. Accurate documentation is crucial for proper code assignment.
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.
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.