2025 ICD-10-CM code L60
Nail disorders
No specific modifier rules mentioned, but general ICD-10-CM guidelines for modifier use apply as necessary.
Medical necessity is established by the presence of a nail disorder causing symptoms, functional impairment, or posing a risk of complications. Treatment is deemed medically necessary when it aims to alleviate symptoms, improve function, or prevent further complications.
Diagnosis and treatment of nail disorders are typically managed by dermatologists, primary care physicians, or podiatrists.Responsibilities include physical examination, diagnosis of specific conditions (e.g., onychomycosis, ingrown nails), and implementation of appropriate treatments such as medication, nail avulsion, or surgical intervention.
In simple words: This code refers to various problems related to fingernails and toenails.
Diseases of the nail plate and tissues surrounding it. The concept is limited to primates.This includes disorders affecting the structure, growth, or appearance of nails.
Example 1: A patient presents with thickened, yellowed toenails, and the physician diagnoses onychomycosis (fungal nail infection). The physician prescribes oral antifungal medication. Code: L60.0, A patient experiences pain and inflammation around a toenail due to an ingrown nail. The physician performs a partial nail avulsion. Code: L60.1, A patient has brittle, splitting nails and is diagnosed with onychoschizia. The physician recommends moisturizing treatments and dietary adjustments. Code: L60.8
Documentation should include the location and description of the nail abnormality, including color, texture, and thickness. Any associated symptoms, such as pain, swelling, or discharge, should be noted. Diagnostic tests performed (e.g., KOH prep for fungal infection) and treatment plans should also be documented.
** For more specific nail disorders, refer to the more detailed codes within the L60 category (e.g., L60.0 for onychomycosis). Diagnostic confidence indicators (A, G, V, Z) must be used in outpatient settings in Germany according to the provided source.
- Payment Status: Active
- Specialties:Dermatology, Primary Care, Podiatry
- Place of Service:Office, Outpatient Hospital, Inpatient Hospital, Skilled Nursing Facility