2025 ICD-10-CM code L60.2
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of the skin and subcutaneous tissue - Disorders of skin appendages Diseases of the skin and subcutaneous tissue (L00-L99) Feed
Onychogryphosis is a condition characterized by thickened, curved, and overgrown nails.
Medical necessity is established by the presence of symptoms such as pain, discomfort, and functional impairment directly attributable to the onychogryphosis.Additionally, the presence of underlying pathology requiring treatment would support medical necessity.The level of severity and impact on the patient's quality of life would also contribute to determining medical necessity.
Diagnosis and treatment of onychogryphosis, including assessment of the underlying cause (if any), debridement, surgical removal of the affected nail(s), and management of associated complications.The physician may refer the patient to a podiatrist for management if indicated.
In simple words: Onychogryphosis means your nails become thick, curved, and overgrown, like a ram's horn. This can be painful and make it hard to do everyday things. It's often caused by another health problem or an injury.
Onychogryphosis, also known as ram's horn nails or claw nails, is a disorder affecting the nails, resulting in a hypertrophic and distorted nail plate.The nail becomes thickened, abnormally curved, and often yellowed or brown.It can affect fingernails or toenails, and is usually a consequence of underlying medical conditions or trauma, though it can also be idiopathic. The condition may cause pain, discomfort, and interfere with daily activities. Treatment options may include debridement, surgical removal, or addressing the underlying cause.
Example 1: A 70-year-old patient presents with a severely thickened and hypertrophic toenail on their great toe, causing pain and difficulty with ambulation.The physician diagnoses onychogryphosis and performs partial nail avulsion., A 65-year-old patient with peripheral neuropathy presents with onychogryphosis on several toenails.The physician manages the condition with conservative measures, including regular nail trimming and topical antifungal treatment (if a fungal infection is present)., An 80-year-old patient in a nursing home is noted to have significant onychogryphosis, potentially secondary to poor hygiene and limited mobility.The physician orders regular nail care by nursing staff and assesses for underlying causes.
Detailed history and physical examination documenting nail morphology, associated symptoms (pain, discomfort, functional limitations), and presence of any underlying conditions.If treatment is performed, detailed procedural notes should be documented.Imaging studies (e.g., X-rays) may be indicated to rule out underlying bone pathology.Results of any fungal cultures or other laboratory testing should be documented if performed.
** Onychogryphosis can be associated with various underlying medical conditions, such as psoriasis, fungal infections, trauma, and peripheral vascular disease.It is crucial to identify and address these underlying conditions to effectively manage onychogryphosis.
- Payment Status: Active
- Specialties:Podiatry, Dermatology
- Place of Service:Office, Outpatient Hospital, Nursing Facility, Home Health