Required fields are marked *. required field. Could someone please help? Permanent correction of recurring ingrown toenail by nail resection or wedge excision of the nail lip should be billed with CPT code 11750 or 11765 and not as an incision
Billing and Coding: Incision and Drainage (I&D) of Abscess of Skin Regrowth of the nail usually requires at least four months. CPT Codes, Descriptors, and other data only are copyright 1999 American Medical Association (or such other date of publication of CPT). Another option is to use the Download button at the top right of the document view pages (for certain document types). For 11750 the physician takes it one step further and uses phenol or electrocautery to destroy or permanently remove the nail matrix so the toenail never grows CPT code information is copyright by Therefore, if a drug is self-administered by more than 50 percent of Medicare beneficiaries, the drug is excluded from coverage" and the MAC will make no payment for the drug. If another service is provided along with the avulsion, full documentation of the medical need for the service and description of the procedure must be recorded in the patients file. CPT codes, descriptions and other data only are copyright 2022 American Medical Association. Method of obtaining anesthesia (if not used, the reason for not using it). CMS believes that the Internet is
Dr. Granovsky is president of coding for LogixHealth. The code lists in the article help explain which services (procedures) the related LCD applies to, the diagnosis codes for which the service is covered, or for which the service is not considered reasonable and necessary and therefore not covered. (Refer to LCD: Routine Foot Care). Despite Medicares allowing up to these maximums, each patients condition and response to treatment must medically warrant the number of services reported for payment. Injuries may include contusions, nail damage, and nail bed lacerations. Using modifier 50 to the second removal tells the insurer that the podiatrist carries out the toe removal as bilateral procedure. You are using an out of date browser. Brought to you by the ACEP Coding and Nomenclature Committee.
Podiatry Management The description of CPT codes 11730, 11732 and 11750 indicates partial or complete avulsion or excision of a nail plate. A fingertip contusion may result in a subungual hematoma requiring trephination to relieve pressure and pain. All Rights Reserved to AMA. Article revised and posted on 12/16/2021 effective for dates of service on and after 01/30/2022.Draft article posted on 07/29/2021. You agree to take all necessary steps to insure that your employees and agents abide by the terms of this agreement.
Trimming of ingrown toenail | Medical Billing and Coding License to use CDT for any use not authorized herein must be obtained through the American Dental Association, 211 East Chicago Avenue, Chicago, IL 60611. L60.0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. hbbd```b``Y"H^0[~ Integumentary Procedures for Injuries. The AMA is a third party beneficiary to this Agreement. The responsibility for the content of this file/product is with CMS and no endorsement by the AMA is intended or implied. The AMA does not directly or indirectly practice medicine or dispense medical services. Documentation supporting the medical necessity should be legible, maintained in the patients medical record and made available to Medicare upon request. WebThe following surgical procedures represent the options used to treat complicated/symptomatic ingrowing nail (s): Avulsion of a nail (CPT codes 11730 and WebHow do you properly code bilateral hallux nail avulsions? Appropriate, including the duration and frequency that is considered appropriate for the service, in terms of whether it is: Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. This LCD imposes diagnosis limitations that support diagnosis to procedure code automated denials. Applications are available at the American Dental Association web site. WebLogic for incision: You should report each toenail removal: 11750 for the first complete removal and 11750 for the second removal. Treatment of simple uncomplicated or asymptomatic ingrowing nail by removal of the offending nail spicule not requiring local anesthesia is considered to be routine foot care as are other trimming, cutting, clipping and debriding of a nail distal to the eponychium. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. The submitted medical record must support the use of the selected ICD-10-CM code(s).
How to Code Nail Procedures - ACEP Now Organizations who contract with CMS acknowledge that they may have a commercial CDT license with the ADA, and that use of CDT codes as permitted herein for the administration of CMS programs does not extend to any other programs or services the organization may administer and royalties dues for the use of the CDT codes are governed by their commercial license. Drainage may be achieved by drilling the nail with a needle or with cautery, which is reported with Current Procedural Terminology (CPT) code 11740 (evacuation of subungual hematoma, 0.92 relative value units [RVUs], Medicare $33.16). The AMA assumes no liability for data contained or not contained herein. When lateral and medial sides of a nail are involved, do not report a separate code for each border.Procedure code 11750 (Excision of nail and nail matrix, partial or complete, [e.g., ingrown or deformed nail] for permanent removal) requires the removal of the full length or the entire nail plate, with destruction or permanent removal of the matrix by any means.Reporting CPT codes 11730 or 11732 (avulsion) with CPT code 11750 (excision) and or 11765 (wedge resection) for the same digit on the same DOS is not correct coding. Contractors may specify Bill Types to help providers identify those Bill Types typically
2023 ICD-10-CM Diagnosis Code L60.0: Ingrowing nail An ingrown nail is growth of the nail edge into the surrounding soft tissue that may result in pain, inflammation or infection. Anemia is the most common condition included in this chapter. Post-operative instructions and any follow-up care (such as use of soaks, proper shoes and nail care, to prevent recurrences, antibiotics and follow-up appointments).
ICD-10-CM Diagnosis Code The American Hospital Association (the "AHA") has not reviewed, and is not responsible for, the completeness or
Answer: Nail and nail bed procedures may be required for injuries or medical conditions. Editors Note: Cutting through the red tape to make certain that you get paid for every dollar you earn has become more difficult than ever, particularly in our current climate of health care reform and ICD-10 transition. Use 11730 for 'Avulsion' of the ingrown nail and nail plate for temporary removal. Use 11750 for Excisioin of the nail with 'matricectomy', which is done for permanent removal. Hope this clarifies the code options. You must log in or register to reply here. All those not listed under the "ICD-10-CM Codes that Support Medical Necessity" section of this article. If you would like to extend your session, you may select the Continue Button. For every subsequent avulsion, CPT 11732 is reported as the add-on code with one UOS and the appropriate identifying digit modifier appended. Medicare requires the medical necessity for each service reported to be clearly demonstrated in the patients medical record. The Centers for Medicare & Medicaid Services (CMS), the federal agency responsible for administration of the Medicare,
This LCD describes conditions under which the coverage of nail avulsion/excision may be considered.
Ingrown Toenail Removal Coding Confusions? 11750 Answers Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by clicking below on the button labeled "I Accept". Ordered and furnished by qualified personnel. The American Medical Association (AMA) and the Centers for Medicare & Medicaid Services (CMS) require the use of short CPT descriptors in policies published on the Web. All rights reserved. The following information should be included in the patients medical record (in the operative note or in progress notes related to a recent/contemporaneous/subsequent E/M encounter): A complete detailed description of the procedure performed including exact portion of nail removed. Medicare contractors are required to develop and disseminate Articles. The following surgical procedures represent the options used to treat a complicated/symptomatic ingrown nail(s): Avulsion of a nail (CPT codes 11730 and 11732) involving separation and removal of the entire nail plate or a portion of nail plate (including the entire length of the nail border to and under the eponychium). The Medicare program provides limited benefits for outpatient prescription drugs. 5. endstream
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Applicable Federal Acquisition Regulation Clauses (FARS)/Department of Defense Federal Acquisition Regulation supplement (DFARS) Restrictions Apply to Government Use. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. Copyright © 2022, the American Hospital Association, Chicago, Illinois. Nail avulsions usually offer only temporary relief for ingrown toenails. The license granted herein is expressly conditioned upon your acceptance of all terms and conditions contained in this agreement. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CDT for resale and/or license, transferring copies of CDT to any party not bound by this agreement, creating any modified or derivative work of CDT, or making any commercial use of CDT. If a tourniquet is used, it should be removed as soon However, please note that once a group is collapsed, the browser Find function will not find codes in that group. Medicare payment for CPT codes 11730 and 11732 in places of service other than hospitals or ambulatory surgical centers is limited to 5 services (one of 11730 and 4 of 11732) per day. that coverage is not influenced by Revenue Code and the article should be assumed to apply equally to all Revenue Codes. 44207 What modifier is used to report the termination of a surgery following induction of anesthesia due to extenuating circumstances or those that threaten the well-being of the patient? Deformed nails that prevent wearing shoes or otherwise jeopardize the integrity of the toe. Use 11730 for 'Avulsion' of the ingrown nail and nail plate for temporary removal. Response to Comment (RTC) articles list issues raised by external stakeholders during the Proposed LCD comment period. Providers are reminded to refer to the long descriptors of the CPT codes in their CPT book. The nail often grows back to its original thickness and the offending margin again may become problematic, resulting in another nail avulsion.
In most instances Revenue Codes are purely advisory; unless specified in the policy services reported under other Revenue Codes are equally subject to this coverage determination. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential
Finding Medicare fee schedule HOw to Guide, Gastroenterology, Colonoscopy, Endoscopy Medicare CPT Code Fee, LCD and procedure to diagnosis lookup How to Guide, Medicare claim address, phone numbers, payor id revised list, Medicare Fee for Office Visit CPT Codes CPT Code 99213, 99214, 99203. If your session expires, you will lose all items in your basket and any active searches. damages arising out of the use of such information, product, or process. The Utilization Parameters section of the Article has been revised to remove the direction for the use of modifiers 76 and 77 and to add instructions that repeat services on the same nail, within 32 weeks, will be considered upon redetermination.
If this is your first visit, be sure to check out the. If you find anything not as per policy. One that meets, but does not exceed, the patients medical need. Reporting CPT code 11765 for the removal of a small piece of the skin and/or the nail without local anesthesia is not correct coding.Procedure code 11730 (Avulsion of nail plate, partial or complete, simple; single) is reported when removing part of the nail plate or the entire nail plate. Coverage Indications, Limitations, and/or Medical Necessity. Please reach out and we would do the investigation and remove the article. An official publication of: American College of Emergency Physicians, Coding Wizard: How to Document Burn Treatment, ACEP Submits Comprehensive Response to Proposed Physician Fee Schedule, 2023 Documentation Guideline Changes for ED E/M Codes 99281-99285. The submitted CPT/HCPCS code must describe the service performed.
Podiatry Specialty ICD-10-CM Coding Furnished in accordance with accepted standards of medical practice for the diagnosis or treatment of the patients condition or to improve the function of a malformed body member. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); 2023.
LCD - Surgical Treatment of Nails (L33833) - Centers for Medicare WebAvulsion of a nail plate (CPT codes 11730 and 11732) is, generally, performed under local anesthesia. If injectable anesthesia was not used, the reason must be clearly documented in the patients medical record. CMS and its products and services are not endorsed by the AHA or any of its affiliates. Both avulsion and routine trimming/debridement will not be allowed on the same nail on the same day. 11750. This policy describes conditions under which Medicare payment for nail avulsion may be made. Medicaid and the State Children's Health Insurance Programs, contracts with certain organizations to assist in the administration
A corresponding procedure code must accompany a Z code if a procedure is performed.
All our content are education purpose only. 7500 Security Boulevard, Baltimore, MD 21244. An ingrown nail is growth of the nail edge into the surrounding soft tissue that may result in pain, inflammation or infection. The 2023 edition of ICD-10-CM L60.0 became %%EOF
accuracy of any information contained in this material, nor was the AHA or any of its affiliates, involved in the
You can use the Contents side panel to help navigate the various sections. Payment conditions for routine foot care are described in the TrailBlazer LCD Routine Foot Care 4P-11AB.. Absence of a Bill Type does not guarantee that the policy does not apply to that Bill Type. Billing and Coding articles typically include CPT/HCPCS procedure codes, ICD-10-CM diagnosis codes, as well as Bill Type, Revenue, and CPT/HCPCS Modifier codes. All Rights Reserved. The documentation must include the legible signature of the physician or non-physician practitioner responsible for and providing the care to the patient. Crushing injuries of the fingers. The ACEP Coding and Nomenclature Committee has partnered with ACEP Now to provide you with practical, impactful tips to help you navigate through this coding and reimbursement maze.
Routine Foot Care - Medical Clinical Policy Bulletins | Aetna %PDF-1.5
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There are different article types: Articles are often related to an LCD, and the relationship can be seen in the "Associated Documents" section of the Article or the LCD. At least as beneficial as an existing and available medically appropriate alternative. The program covers drugs that are furnished "incident-to" a physician's service provided that the drugs are not "usually self-administered" by the patient. of every MCD page.
Code for removal of ingrown toenail - AAPC I am leaning towards an unlisted code rather than CPT 11750 since CPT 11750 references surgical Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not
You can collapse such groups by clicking on the group header to make navigation easier. JavaScript is disabled. "JavaScript" disabled. The following information must be clearly documented in the patients medical record: Complete detailed description of the pre-operative findings. Medicare will allow ten services per beneficiary per 24 months for CPT codes 11730 and/or 11732. Every page of the record must be legible and include appropriate patient identification information (e.g., complete name, dates of service[s]). Complete absence of all Bill Types indicates that coverage is not influenced by Bill Type and the policy should be assumed to apply equally to all claims. With appropriate surgical management and instruction for proper shoes and nail care, the problem of ingrowing nails should not recur. copied without the express written consent of the AHA. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. All documentation must be maintained in the patient's medical record and made available to the contractor upon request. Ingrown toenail removal can be performed without a tourniquet, but it is easier with a bloodless surgical field. which insurance is primary. You shall not remove, alter, or obscure any ADA copyright notices or other proprietary rights notices included in the materials. GOVERNMENT AND ITS EMPLOYEES ARE NOT LIABLE FOR ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION, PRODUCT, OR PROCESSES
Revenue Codes are equally subject to this coverage determination. All the articles are getting from various resources. The document is broken into multiple sections.
Ingrown Toenail Management | AAFP Payment for services beyond this number will require medical review of patient records to determine medical necessity. All Rights Reserved (or such other date of publication of CPT). CPT 91311, 0111A, 0112A Covid Vaccine for children, 5 Important points to improve claim submission success rate. For purpose of this exclusion, "the term 'usually' means more than 50 percent of the time for all Medicare beneficiaries who use the drug. apply equally to all claims. Complicated wounds of the toes involving nail components. Please enable "JavaScript" and revisit this page or proceed with browsing CMS.gov with
Medicare Fee Schedule, Payment and Reimbursement Benefit Guideline, Medicare revalidation process how often provide need to do FAQ, Step by step Guide Medicare participation program. Use of CDT is limited to use in programs administered by Centers for Medicare & Medicaid Services (CMS). Complicated wounds of the toes involving nail components. Any questions pertaining to the license or use of the CPT should be addressed to the AMA. End Users do not act for or on behalf of the CMS. ICD-10 Codes: 1 M79.675 Pain in
ICD-10-CM Diagnosis Code I am having trouble deciding on which code to use for the removal of an ingrown toenail in an ambulatory outpatient setting. An official website of the United States government. Complete absence of all Revenue Codes indicates
presented in the material do not necessarily represent the views of the AHA. and/or making any commercial use of UB‐04 Manual or any portion thereof, including the codes and/or descriptions, is only
All Rights Reserved to AMA. CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. When billing for non-covered services, use the appropriate modifier.
Ingrown Toenail Surgery: Procedure and Aftercare - Healthline A Draft article will eventually be replaced by a Billing and Coding article once the Proposed LCD is released to a final LCD. Wedge excision of the nail fold hypertrophic granulation tissue with removal of the offending portion of the nail (CPT procedure code 11765). E&M working up the patient for this initial encounter for a new problem requiring a procedure. Please review and accept the agreements in order to view Medicare Coverage documents, which may include licensed information and codes.
CPT 11055, 11056, 11057, 11719, 11720, 11721 - Routine In most instances Revenue Codes are purely advisory. All diagnoses not listed in the ICD-9-CM Codes That Support Medical Necessity section of this LCD. Current Dental Terminology © 2022 American Dental Association. These materials contain Current Dental Terminology (CDTTM), copyright© 2022 American Dental Association (ADA). Complete absence of all Bill Types indicates
In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material. Self-Administered Drug (SAD) Exclusion List articles list the CPT/HCPCS codes that are excluded from coverage under this category. WebExcision of nail and nail matrix (CPT code 11750) is performed under local anesthesia and requires removal of part or all of the nail along its length, with destruction or permanent removal of the matrix (e.g., chemical/surgical matrixectomy). Also, you can decide how often you want to get updates. Therefore, a partial or complete excision of nail and nail matrix may be the preferred course of treatment for recurrent ingrown nails. If a nail bed injury requires repair, report it with 11760 (repair of nail bed, 3.27 RVUs, Medicare $117.84). Furnished in a setting appropriate to the patients medical needs and condition. Other conditions may also require avulsion of part or all of a nail. This condition most commonly occurs in the great toes and may require surgical management.
Nail Avulsion CPT code 11730 ,11732, 11750, 11765 THE UNITED STATES
resale and/or to be used in any product or publication; creating any modified or derivative work of the UB‐04 Manual and/or codes and descriptions;
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Topics: Nail ProceduresReimbursement & Coding, No Responses
Medicare expects that patients will not routinely require the maximum allowable number of services. If you do not agree with all terms and conditions set forth herein, click below on the button labeled "I do not accept" and exit from this computer screen. 0
Federal government websites often end in .gov or .mil. WebEncounter for removal of intrauterine contraceptive device Intrauterine device removal done; Iud removal; Removal of intrauterine contraceptive device done ICD-10-CM Diagnosis However, in the case of a chronic condition, a more aggressive action may be necessary such as a chemical or laser procedure that removes the corner of the iniquitous nail and its matrix. Type and quantity of local anesthetic agent used. The views and/or positions presented in the material do not necessarily represent the views of the AHA. This Agreement will terminate upon notice if you violate its terms. registered for member area and forum access. Article revised and published on 07/16/2015 to include reference to the Routine Foot Care LCD and Article, to include modifiers for the fingers and to provide direction regarding proper billing of CPT code, Some older versions have been archived. Equally effective treatments for ingrown toenails are partial nail avulsion followed by phenolization or direct surgical excision of the nail matrix. You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. To submit a comment or question to CMS, please use the Feedback/Ask a Question link available at the bottom
CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. An asterisk (*) indicates a
The following ICD-10-CM codes support medical necessity and provide coverage for CPT codes: 11730, 11732, 11750, and 11765: * Note: Report standalone ICD-10-CM code L60.8 for the indication of subungual abscess, subungual tumor, periungual tumor, subungual hematoma, or melanoma. The CMS.gov Web site currently does not fully support browsers with
The use of specific terminology is important in applying codes for this condition. I code 11750 at our facility. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'.This can arise Instructions for enabling "JavaScript" can be found here. will not infringe on privately owned rights. Nail debridement or removing small chips or wedges of the nail and/or skin that does not require local anesthesia does not constitute surgical treatment of a nail Subject to the terms and conditions contained in this Agreement, you, your employees and agents are authorized to use CDT only as contained in the following authorized materials and solely for internal use by yourself, employees and agents within your organization within the United States and its territories. There are multiple ways to create a PDF of a document that you are currently viewing. The surgical treatment of nails is also covered for the following indications: Subungal abscess. not endorsed by the AHA or any of its affiliates. If a covered diagnosis is not on the claim, the edit will automatically deny the service as not medically necessary. This page displays your requested Article. WebThe documentation states the entire nail and root (nail matrix) are removed. WebI was hoping someone could help me with coding for the procedure for a chemical matrixectomy. Procedure code 11730 (Avulsion of nail Z codes represent reasons for encounters. CMS has defined "not usually self-administered" according to how the Medicare population as a whole uses the drug, not how an individual patient or physician may choose to use a particular drug. Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal; Lay Description: The physician removes all or part of a fingernail or toenail, including the nail Paronychia. CMS and its products and services are
to How to Code Nail Procedures, Your email address will not be published. Wedge excision of the nail fold hypertrophic granulation tissue with removal of the offending portion of the nail (CPT code 11765). In the numeric section of the CPT, the removal of the nail and nail matrix is code 11750. WebApplicable Codes . When damage to the nail is extensive and removal is required, report it with CPT code 11730 (avulsion of nail plate, partial or complete, simple, single, 1.58 RVUs,
Billing and Coding articles provide guidance for the related Local Coverage Determination (LCD) and assist providers in submitting correct claims for payment. Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. This condition most commonly occurs in the great toes and may require surgical management. Sign up to get the latest information about your choice of CMS topics in your inbox. CPT code 26010, Drainage of finger abscess; simple represents this type of procedure. ICD-10-CM Codes that Support Medical Necessity, ICD-10-CM Codes that DO NOT Support Medical Necessity, A58961 - Response to Comments: Surgical Treatment of Nails, Contusion of right thumb with damage to nail, initial encounter, Contusion of right thumb with damage to nail, subsequent encounter, Contusion of right thumb with damage to nail, sequela, Contusion of left thumb with damage to nail, initial encounter, Contusion of left thumb with damage to nail, subsequent encounter, Contusion of left thumb with damage to nail, sequela, Contusion of right index finger with damage to nail, initial encounter, Contusion of right index finger with damage to nail, subsequent encounter, Contusion of right index finger with damage to nail, sequela, Contusion of left index finger with damage to nail, initial encounter, Contusion of left index finger with damage to nail, subsequent encounter, Contusion of left index finger with damage to nail, sequela, Contusion of right middle finger with damage to nail, initial encounter, Contusion of right middle finger with damage to nail, subsequent encounter, Contusion of right middle finger with damage to nail, sequela, Contusion of left middle finger with damage to nail, initial encounter, Contusion of left middle finger with damage to nail, subsequent encounter, Contusion of left middle finger with damage to nail, sequela, Contusion of right ring finger with damage to nail, initial encounter, Contusion of right ring finger with damage to nail, subsequent encounter, Contusion of right ring finger with damage to nail, sequela, Contusion of left ring finger with damage to nail, initial encounter, Contusion of left ring finger with damage to nail, subsequent encounter, Contusion of left ring finger with damage to nail, sequela, Contusion of right little finger with damage to nail, initial encounter, Contusion of right little finger with damage to nail, subsequent encounter, Contusion of right little finger with damage to nail, sequela, Contusion of left little finger with damage to nail, initial encounter, Contusion of left little finger with damage to nail, subsequent encounter, Contusion of left little finger with damage to nail, sequela, Laceration without foreign body of right thumb with damage to nail, initial encounter, Laceration without foreign body of right thumb with damage to nail, subsequent encounter, Laceration without foreign body of right thumb with damage to nail, sequela, Laceration without foreign body of left thumb with damage to nail, initial encounter, Laceration without foreign body of left thumb with damage to nail, subsequent encounter, Laceration without foreign body of left thumb with damage to nail, sequela, Laceration with foreign body of right thumb with damage to nail, initial encounter, Laceration with foreign body of right thumb with damage to nail, subsequent encounter, Laceration with foreign body of right thumb with damage to nail, sequela, Laceration with foreign body of left thumb with damage to nail, initial encounter, Laceration with foreign body of left thumb with damage to nail, subsequent encounter, Laceration with foreign body of left thumb with damage to nail, sequela, Puncture wound without foreign body of right thumb with damage to nail, initial encounter, Puncture wound without foreign body of right thumb with damage to nail, subsequent encounter, Puncture wound without foreign body of right thumb with damage to nail, sequela, Puncture wound without foreign body of left thumb with damage to nail, initial encounter, Puncture wound without foreign body of left thumb with damage to nail, subsequent encounter, Puncture wound without foreign body of left thumb with damage to nail, sequela, Puncture wound with foreign body of right thumb with damage to nail, initial encounter, Puncture wound with foreign body of right thumb with damage to nail, subsequent encounter, Puncture wound with foreign body of right thumb with damage to nail, sequela, Puncture wound with foreign body of left thumb with damage to nail, initial encounter, Puncture wound with foreign body of left thumb with damage to nail, subsequent encounter, Puncture wound with foreign body of left thumb with damage to nail, sequela, Open bite of right thumb with damage to nail, initial encounter, Open bite of right thumb with damage to nail, subsequent encounter, Open bite of right thumb with damage to nail, sequela, Open bite of left thumb with damage to nail, initial encounter, Open bite of left thumb with damage to nail, subsequent encounter, Open bite of left thumb with damage to nail, sequela, Laceration without foreign body of right index finger with damage to nail, initial encounter, Laceration without foreign body of right index finger with damage to nail, subsequent encounter, Laceration without foreign body of right index finger with damage to nail, sequela, Laceration without foreign body of left index finger with damage to nail, initial encounter, Laceration without foreign body of left index finger with damage to nail, subsequent encounter, Laceration without foreign body of left index finger with damage to nail, sequela, Laceration without foreign body of right middle finger with damage to nail, initial encounter, Laceration without foreign body of right middle finger with damage to nail, subsequent encounter, Laceration without foreign body of right middle finger with damage to nail, sequela, Laceration without foreign body of left middle finger with damage to nail, initial encounter, Laceration without foreign body of left middle finger with damage to nail, subsequent encounter, Laceration without foreign body of left middle finger with damage to nail, sequela, Laceration without foreign body of right ring finger with damage to nail, initial encounter, Laceration without foreign body of right ring finger with damage to nail, subsequent encounter, Laceration without foreign body of right ring finger with damage to nail, sequela, Laceration without foreign body of left ring finger with damage to nail, initial encounter, Laceration without foreign body of left ring finger with damage to nail, subsequent encounter, Laceration without foreign body of left ring finger with damage to nail, sequela, Laceration without foreign body of right little finger with damage to nail, initial encounter, Laceration without foreign body of right little finger with damage to nail, subsequent encounter, Laceration without foreign body of right little finger with damage to nail, sequela, Laceration without foreign body of left little finger with damage to nail, initial encounter, Laceration without foreign body of left little finger with damage to nail, subsequent encounter, Laceration without foreign body of left little finger with damage to nail, sequela, Laceration with foreign body of right index finger with damage to nail, initial encounter, Laceration with foreign body of right index finger with damage to nail, subsequent encounter, Laceration with foreign body of right index finger with damage to nail, sequela, Laceration with foreign body of left index finger with damage to nail, initial encounter, Laceration with foreign body of left index finger with damage to nail, subsequent encounter, Laceration with foreign body of left index finger with damage to nail, sequela, Laceration with foreign body of right middle finger with damage to nail, initial encounter, Laceration with foreign body of right middle finger with damage to nail, subsequent encounter, Laceration with foreign body of right middle finger with damage to nail, sequela, Laceration with foreign body of left middle finger with damage to nail, initial encounter, Laceration with foreign body of left middle finger with damage to nail, subsequent encounter, Laceration with foreign body of left middle finger with damage to nail, sequela, Laceration with foreign body of right ring finger with damage to nail, initial encounter, Laceration with foreign body of right ring finger with damage to nail, subsequent encounter, Laceration with foreign body of right ring finger with damage to nail, sequela, Laceration with foreign body of left ring finger with damage to nail, initial encounter, Laceration with foreign body of left ring finger with damage to nail, subsequent encounter, Laceration with foreign body of left ring finger with damage to nail, sequela, Laceration with foreign body of right little finger with damage to nail, initial encounter, Laceration with foreign body of right little finger with damage to nail, subsequent encounter, Laceration with foreign body of right little finger with damage to nail, sequela, Laceration with foreign body of left little finger with damage to nail, initial encounter, Laceration with foreign body of left little finger with damage to nail, subsequent encounter, Laceration with foreign body of left little finger with damage to nail, sequela, Puncture wound without foreign body of right index finger with damage to nail, initial encounter, Puncture wound without foreign body of right index finger with damage to nail, subsequent encounter, Puncture wound without foreign body of right index finger with damage to nail, sequela, Puncture wound without foreign body of left index finger with damage to nail, initial encounter, Puncture wound without foreign body of left index finger with damage to nail, subsequent encounter, Puncture wound without foreign body of left index finger with damage to nail, sequela, Puncture wound without foreign body of right middle finger with damage to nail, initial encounter, Puncture wound without foreign body of right middle finger with damage to nail, subsequent encounter, Puncture wound without foreign body of right middle finger with damage to nail, sequela, Puncture wound without foreign body of left middle finger with damage to nail, initial encounter, Puncture wound without foreign body of left middle finger with damage to nail, subsequent encounter, Puncture wound without foreign body of left middle finger with damage to nail, sequela, Puncture wound without foreign body of right ring finger with damage to nail, initial encounter, Puncture wound without foreign body of right ring finger with damage to nail, subsequent encounter, Puncture wound without foreign body of right ring finger with damage to nail, sequela, Puncture wound without foreign body of left ring finger with damage to nail, initial encounter, Puncture wound without foreign body of left ring finger with damage to nail, subsequent encounter, Puncture wound without foreign body of left ring finger with damage to nail, sequela, Puncture wound without foreign body of right little finger with damage to nail, initial encounter, Puncture wound without foreign body of right little finger with damage to nail, subsequent encounter, Puncture wound without foreign body of right little finger with damage to nail, sequela, Puncture wound without foreign body of left little finger with damage to nail, initial encounter, Puncture wound without foreign body of left little finger with damage to nail, subsequent encounter, Puncture wound without foreign body of left little finger with damage to nail, sequela, Puncture wound with foreign body of right index finger with damage to nail, initial encounter, Puncture wound with foreign body of right index finger with damage to nail, subsequent encounter, Puncture wound with foreign body of right index finger with damage to nail, sequela, Puncture wound with foreign body of left index finger with damage to nail, initial encounter, Puncture wound with foreign body of left index finger with damage to nail, subsequent encounter, Puncture wound with foreign body of left index finger with damage to nail, sequela, Puncture wound with foreign body of right middle finger with damage to nail, initial encounter, Puncture wound with foreign body of right middle finger with damage to nail, subsequent encounter, Puncture wound with foreign body of right middle finger with damage to nail, sequela, Puncture wound with foreign body of left middle finger with damage to nail, initial encounter, Puncture wound with foreign body of left middle finger with damage to nail, subsequent encounter, Puncture wound with foreign body of left middle finger with damage to nail, sequela, Puncture wound with foreign body of right ring finger with damage to nail, initial encounter, Puncture wound with foreign body of right ring finger with damage to nail, subsequent encounter, Puncture wound with foreign body of right ring finger with damage to nail, sequela, Puncture wound with foreign body of left ring finger with damage to nail, initial encounter, Puncture wound with foreign body of left ring finger with damage to nail, subsequent encounter, Puncture wound with foreign body of left ring finger with damage to nail, sequela, Puncture wound with foreign body of right little finger with damage to nail, initial encounter, Puncture wound with foreign body of right little finger with damage to nail, subsequent encounter, Puncture wound with foreign body of right little finger with damage to nail, sequela, Puncture wound with foreign body of left little finger with damage to nail, initial encounter, Puncture wound with foreign body of left little finger with damage to nail, subsequent encounter, Puncture wound with foreign body of left little finger with damage to nail, sequela, Open bite of right index finger with damage to nail, initial encounter, Open bite of right index finger with damage to nail, subsequent encounter, Open bite of right index finger with damage to nail, sequela, Open bite of left index finger with damage to nail, initial encounter, Open bite of left index finger with damage to nail, subsequent encounter, Open bite of left index finger with damage to nail, sequela, Open bite of right middle finger with damage to nail, initial encounter, Open bite of right middle finger with damage to nail, subsequent encounter, Open bite of right middle finger with damage to nail, sequela, Open bite of left middle finger with damage to nail, initial encounter, Open bite of left middle finger with damage to nail, subsequent encounter, Open bite of left middle finger with damage to nail, sequela, Open bite of right ring finger with damage to nail, initial encounter, Open bite of right ring finger with damage to nail, subsequent encounter, Open bite of right ring finger with damage to nail, sequela, Open bite of left ring finger with damage to nail, initial encounter, Open bite of left ring finger with damage to nail, subsequent encounter, Open bite of left ring finger with damage to nail, sequela, Open bite of right little finger with damage to nail, initial encounter, Open bite of right little finger with damage to nail, subsequent encounter, Open bite of right little finger with damage to nail, sequela, Open bite of left little finger with damage to nail, initial encounter, Open bite of left little finger with damage to nail, subsequent encounter, Open bite of left little finger with damage to nail, sequela, Crushing injury of right thumb, initial encounter, Crushing injury of right thumb, subsequent encounter, Crushing injury of left thumb, initial encounter, Crushing injury of left thumb, subsequent encounter, Crushing injury of right index finger, initial encounter, Crushing injury of right index finger, subsequent encounter, Crushing injury of right index finger, sequela, Crushing injury of left index finger, initial encounter, Crushing injury of left index finger, subsequent encounter, Crushing injury of left index finger, sequela, Crushing injury of right middle finger, initial encounter, Crushing injury of right middle finger, subsequent encounter, Crushing injury of right middle finger, sequela, Crushing injury of left middle finger, initial encounter, Crushing injury of left middle finger, subsequent encounter, Crushing injury of left middle finger, sequela, Crushing injury of right ring finger, initial encounter, Crushing injury of right ring finger, subsequent encounter, Crushing injury of right ring finger, sequela, Crushing injury of left ring finger, initial encounter, Crushing injury of left ring finger, subsequent encounter, Crushing injury of left ring finger, sequela, Crushing injury of right little finger, initial encounter, Crushing injury of right little finger, subsequent encounter, Crushing injury of right little finger, sequela, Crushing injury of left little finger, initial encounter, Crushing injury of left little finger, subsequent encounter, Crushing injury of left little finger, sequela, Contusion of right great toe with damage to nail, initial encounter, Contusion of right great toe with damage to nail, subsequent encounter, Contusion of right great toe with damage to nail, sequela, Contusion of left great toe with damage to nail, initial encounter, Contusion of left great toe with damage to nail, subsequent encounter, Contusion of left great toe with damage to nail, sequela, Contusion of right lesser toe(s) with damage to nail, initial encounter, Contusion of right lesser toe(s) with damage to nail, subsequent encounter, Contusion of right lesser toe(s) with damage to nail, sequela, Contusion of left lesser toe(s) with damage to nail, initial encounter, Contusion of left lesser toe(s) with damage to nail, subsequent encounter, Contusion of left lesser toe(s) with damage to nail, sequela, Laceration without foreign body of right great toe with damage to nail, initial encounter, Laceration without foreign body of right great toe with damage to nail, subsequent encounter, Laceration without foreign body of right great toe with damage to nail, sequela, Laceration without foreign body of left great toe with damage to nail, initial encounter, Laceration without foreign body of left great toe with damage to nail, subsequent encounter, Laceration without foreign body of left great toe with damage to nail, sequela, Laceration without foreign body of right lesser toe(s) with damage to nail, initial encounter, Laceration without foreign body of right lesser toe(s) with damage to nail, subsequent encounter, Laceration without foreign body of right lesser toe(s) with damage to nail, sequela, Laceration without foreign body of left lesser toe(s) with damage to nail, initial encounter, Laceration without foreign body of left lesser toe(s) with damage to nail, subsequent encounter, Laceration without foreign body of left lesser toe(s) with damage to nail, sequela, Laceration with foreign body of right great toe with damage to nail, initial encounter, Laceration with foreign body of right great toe with damage to nail, subsequent encounter, Laceration with foreign body of right great toe with damage to nail, sequela, Laceration with foreign body of left great toe with damage to nail, initial encounter, Laceration with foreign body of left great toe with damage to nail, subsequent encounter, Laceration with foreign body of left great toe with damage to nail, sequela, Laceration with foreign body of right lesser toe(s) with damage to nail, initial encounter, Laceration with foreign body of right lesser toe(s) with damage to nail, subsequent encounter, Laceration with foreign body of right lesser toe(s) with damage to nail, sequela, Laceration with foreign body of left lesser toe(s) with damage to nail, initial encounter, Laceration with foreign body of left lesser toe(s) with damage to nail, subsequent encounter, Laceration with foreign body of left lesser toe(s) with damage to nail, sequela, Puncture wound without foreign body of right great toe with damage to nail, initial encounter, Puncture wound without foreign body of right great toe with damage to nail, subsequent encounter, Puncture wound without foreign body of right great toe with damage to nail, sequela, Puncture wound without foreign body of left great toe with damage to nail, initial encounter, Puncture wound without foreign body of left great toe with damage to nail, subsequent encounter, Puncture wound without foreign body of left great toe with damage to nail, sequela, Puncture wound without foreign body of right lesser toe(s) with damage to nail, initial encounter, Puncture wound without foreign body of right lesser toe(s) with damage to nail, subsequent encounter, Puncture wound without foreign body of right lesser toe(s) with damage to nail, sequela, Puncture wound without foreign body of left lesser toe(s) with damage to nail, initial encounter, Puncture wound without foreign body of left lesser toe(s) with damage to nail, subsequent encounter, Puncture wound without foreign body of left lesser toe(s) with damage to nail, sequela, Puncture wound with foreign body of right great toe with damage to nail, initial encounter, Puncture wound with foreign body of right great toe with damage to nail, subsequent encounter, Puncture wound with foreign body of right great toe with damage to nail, sequela, Puncture wound with foreign body of left great toe with damage to nail, initial encounter, Puncture wound with foreign body of left great toe with damage to nail, subsequent encounter, Puncture wound with foreign body of left great toe with damage to nail, sequela, Puncture wound with foreign body of right lesser toe(s) with damage to nail, initial encounter, Puncture wound with foreign body of right lesser toe(s) with damage to nail, subsequent encounter, Puncture wound with foreign body of right lesser toe(s) with damage to nail, sequela, Puncture wound with foreign body of left lesser toe(s) with damage to nail, initial encounter, Puncture wound with foreign body of left lesser toe(s) with damage to nail, subsequent encounter, Puncture wound with foreign body of left lesser toe(s) with damage to nail, sequela, Open bite of right great toe with damage to nail, initial encounter, Open bite of right great toe with damage to nail, subsequent encounter, Open bite of right great toe with damage to nail, sequela, Open bite of left great toe with damage to nail, initial encounter, Open bite of left great toe with damage to nail, subsequent encounter, Open bite of left great toe with damage to nail, sequela, Open bite of right lesser toe(s) with damage to nail, initial encounter, Open bite of right lesser toe(s) with damage to nail, subsequent encounter, Open bite of right lesser toe(s) with damage to nail, sequela, Open bite of left lesser toe(s) with damage to nail, initial encounter, Open bite of left lesser toe(s) with damage to nail, subsequent encounter, Open bite of left lesser toe(s) with damage to nail, sequela, Crushing injury of right great toe, initial encounter, Crushing injury of right great toe, subsequent encounter, Crushing injury of right great toe, sequela, Crushing injury of left great toe, initial encounter, Crushing injury of left great toe, subsequent encounter, Crushing injury of left great toe, sequela, Crushing injury of right lesser toe(s), initial encounter, Crushing injury of right lesser toe(s), subsequent encounter, Crushing injury of right lesser toe(s), sequela, Crushing injury of left lesser toe(s), initial encounter, Crushing injury of left lesser toe(s), subsequent encounter, Crushing injury of left lesser toe(s), sequela, Burn of third degree of right thumb (nail), initial encounter, Burn of third degree of right thumb (nail), subsequent encounter, Burn of third degree of right thumb (nail), sequela, Burn of third degree of left thumb (nail), initial encounter, Burn of third degree of left thumb (nail), subsequent encounter, Burn of third degree of left thumb (nail), sequela, Burn of third degree of single right finger (nail) except thumb, initial encounter, Burn of third degree of single right finger (nail) except thumb, subsequent encounter, Burn of third degree of single right finger (nail) except thumb, sequela, Burn of third degree of single left finger (nail) except thumb, initial encounter, Burn of third degree of single left finger (nail) except thumb, subsequent encounter, Burn of third degree of single left finger (nail) except thumb, sequela, Burn of third degree of multiple right fingers (nail), not including thumb, initial encounter, Burn of third degree of multiple right fingers (nail), not including thumb, subsequent encounter, Burn of third degree of multiple right fingers (nail), not including thumb, sequela, Burn of third degree of multiple left fingers (nail), not including thumb, initial encounter, Burn of third degree of multiple left fingers (nail), not including thumb, subsequent encounter, Burn of third degree of multiple left fingers (nail), not including thumb, sequela, Burn of third degree of multiple right fingers (nail), including thumb, initial encounter, Burn of third degree of multiple right fingers (nail), including thumb, subsequent encounter, Burn of third degree of multiple right fingers (nail), including thumb, sequela, Burn of third degree of multiple left fingers (nail), including thumb, initial encounter, Burn of third degree of multiple left fingers (nail), including thumb, subsequent encounter, Burn of third degree of multiple left fingers (nail), including thumb, sequela, Corrosion of third degree of right thumb (nail), initial encounter, Corrosion of third degree of right thumb (nail), subsequent encounter, Corrosion of third degree of right thumb (nail), sequela, Corrosion of third degree of left thumb (nail), initial encounter, Corrosion of third degree of left thumb (nail), subsequent encounter, Corrosion of third degree of left thumb (nail), sequela, Corrosion of third degree of single right finger (nail) except thumb, initial encounter, Corrosion of third degree of single right finger (nail) except thumb, subsequent encounter, Corrosion of third degree of single right finger (nail) except thumb, sequela, Corrosion of third degree of single left finger (nail) except thumb, initial encounter, Corrosion of third degree of single left finger (nail) except thumb, subsequent encounter, Corrosion of third degree of single left finger (nail) except thumb, sequela, Corrosion of third degree of multiple right fingers (nail), not including thumb, initial encounter, Corrosion of third degree of multiple right fingers (nail), not including thumb, subsequent encounter, Corrosion of third degree of multiple right fingers (nail), not including thumb, sequela, Corrosion of third degree of multiple left fingers (nail), not including thumb, initial encounter, Corrosion of third degree of multiple left fingers (nail), not including thumb, subsequent encounter, Corrosion of third degree of multiple left fingers (nail), not including thumb, sequela, Corrosion of third degree of multiple right fingers (nail), including thumb, initial encounter, Corrosion of third degree of multiple right fingers (nail), including thumb, subsequent encounter, Corrosion of third degree of multiple right fingers (nail), including thumb, sequela, Corrosion of third degree of multiple left fingers (nail), including thumb, initial encounter, Corrosion of third degree of multiple left fingers (nail), including thumb, subsequent encounter, Corrosion of third degree of multiple left fingers (nail), including thumb, sequela, Burn of third degree of right toe(s) (nail), initial encounter, Burn of third degree of right toe(s) (nail), subsequent encounter, Burn of third degree of right toe(s) (nail), sequela, Burn of third degree of left toe(s) (nail), initial encounter, Burn of third degree of left toe(s) (nail), subsequent encounter, Burn of third degree of left toe(s) (nail), sequela, Corrosion of third degree of right toe(s) (nail), initial encounter, Corrosion of third degree of right toe(s) (nail), subsequent encounter, Corrosion of third degree of right toe(s) (nail), sequela, Corrosion of third degree of left toe(s) (nail), initial encounter, Corrosion of third degree of left toe(s) (nail), subsequent encounter, Corrosion of third degree of left toe(s) (nail), sequela, Superficial frostbite of right finger(s), initial encounter, Superficial frostbite of right finger(s), subsequent encounter, Superficial frostbite of right finger(s), sequela, Superficial frostbite of left finger(s), initial encounter, Superficial frostbite of left finger(s), subsequent encounter, Superficial frostbite of left finger(s), sequela, Superficial frostbite of right toe(s), initial encounter, Superficial frostbite of right toe(s), subsequent encounter, Superficial frostbite of right toe(s), sequela, Superficial frostbite of left toe(s), initial encounter, Superficial frostbite of left toe(s), subsequent encounter, Superficial frostbite of left toe(s), sequela.