Excision of the nail and the nail matrix (CPT code 11750) performed under local anesthesia requiring 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) followed by destruction or permanent removal of the associated nail matrix. CPT code information is copyright by The CMS.gov Web site currently does not fully support browsers with 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. This policy describes conditions under which Medicare payment for nail avulsion may be made. 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. to How to Code Nail Procedures, Your email address will not be published. ICD-10 Codes: 1 M79.675 Pain in Therefore, a partial or complete excision of nail and nail matrix may be the preferred course of treatment for recurrent ingrown nails. WebWhat is the code for partial laparoscopic colectomy with anastomosis and coloproctostomy? The documentation must include the legible signature of the physician or non-physician practitioner responsible for and providing the care to the patient. 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. 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). Procedure code 11730 (Avulsion of nail CPT is a trademark of the American Medical Association (AMA). For a better experience, please enable JavaScript in your browser before proceeding. The 2023 edition of ICD-10-CM L60.0 became hbbd```b``Y"H^0[~ The following information must be clearly documented in the patients medical record: Complete detailed description of the pre-operative findings. hWmO8+jRz[&$gZgA&eL{Lz(POJ$C Q|D| bJ)PbR,AAqL All those not listed under the "ICD-10-CM Codes that Support Medical Necessity" section of this article. Revenue Codes are equally subject to this coverage determination. I am leaning towards an unlisted code rather than CPT 11750 since CPT 11750 references surgical The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. There are multiple ways to create a PDF of a document that you are currently viewing. WebNail Procedure CPT Codes Trimming of nondystrophic nails, any number (11719) Avulsion of nail plate, partial or complete, simple; single (11730) Avulsion of nail plate, partial or 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. At least as beneficial as an existing and available medically appropriate alternative. Note. This Agreement will terminate upon notice if you violate its terms. Other conditions may also require avulsion of part or all of a nail. The Centers for Medicare & Medicaid Services (CMS), the federal agency responsible for administration of the Medicare, Absence of a Bill Type does not guarantee that the policy does not apply to that Bill Type. Ingrown toenail removal can be performed without a tourniquet, but it is easier with a bloodless surgical field. The license granted herein is expressly conditioned upon your acceptance of all terms and conditions contained in this agreement. All Rights Reserved to AMA. article does not apply to that Bill Type. The CPT/HCPCS codes included in this LCD will be subjected to procedure to diagnosis editing. "JavaScript" disabled. 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. The following surgical procedures represent the options used to treat complicated/symptomatic ingrowing 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). Modifier 53 WebEncounter for removal of intrauterine contraceptive device Intrauterine device removal done; Iud removal; Removal of intrauterine contraceptive device done ICD-10-CM Diagnosis The views and/or positions presented in the material do not necessarily represent the views of the AHA. One that meets, but does not exceed, the patients medical need. 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. Nail avulsions usually offer only temporary relief for ingrown toenails. copied without the express written consent of the AHA. 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. Use is limited to use in Medicare, Medicaid or other programs administered by the Centers for Medicare and Medicaid Services (CMS). 907 0 obj <>stream CMS and its products and services are not endorsed by the AHA or any of its affiliates. This LCD imposes diagnosis limitations that support diagnosis to procedure code automated denials. without the written consent of the AHA. You are using an out of date browser. Complicated wounds of the toes involving nail components. recommending their use. This page displays your requested Article. As used herein, "you" and "your" refer to you and any organization on behalf of which you are acting. Removal of nail bed Average fee payment $190. 874 0 obj <>/Filter/FlateDecode/ID[<12499A3DA2267343BAF3419DBB56A67A><37D24C6FEB3B8D4C9E5523061C2DFCBD>]/Index[846 62]/Info 845 0 R/Length 117/Prev 959505/Root 847 0 R/Size 908/Type/XRef/W[1 3 1]>>stream apply equally to all claims. 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. CPT Code Set 11750 - CPT Code in category: Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. 2) CPT 28825-Amputation, toe; interphalangeal joint. Applicable Federal Acquisition Regulation Clauses (FARS)/Department of Defense Federal Acquisition Regulation supplement (DFARS) Restrictions Apply to Government Use. Absence of a Bill Type does not guarantee that the CPT codes, descriptions and other data only are copyright 2022 American Medical Association. The submitted CPT/HCPCS code must describe the service performed. All rights reserved. The responsibility for the content of this file/product is with CMS and no endorsement by the AMA is intended or implied. You can use your browser's Print function (Ctrl-P on a PC or Command-P on a Mac) to view a print preview and then select PDF as the output. 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? Complicated wounds of the toes involving nail components. 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 endstream endobj 847 0 obj <>/Metadata 75 0 R/OCProperties<>/OCGs[875 0 R]>>/Outlines 84 0 R/PageLayout/SinglePage/Pages 839 0 R/StructTreeRoot 139 0 R/Type/Catalog>> endobj 848 0 obj <>/ExtGState<>/Font<>/Pattern<>/Properties<>/XObject<>>>/Rotate 0/StructParents 0/Type/Page>> endobj 849 0 obj <>stream Z48.817 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. WebAvulsion of a nail plate (CPT codes 11730 and 11732) is, generally, performed under local anesthesia. 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. Type and quantity of local anesthetic agent used. Include the patients symptoms, the physical examination documenting the severity of the nail infection, injury or deformity, and the assessment and plan containing the rationale why surgical treatment is being selected over other treatment options. Instructions for enabling "JavaScript" can be found here. If an entity wishes to utilize any AHA materials, please contact the AHA at 312‐893‐6816. Integumentary Procedures for Injuries. BCBS prefix Why its important to read correctly. of every MCD page. DISCLOSED HEREIN. "JavaScript" disabled. When billing for non-covered services, use the appropriate modifier. 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. used to report this service. 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. 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, Medicare $56.94). CMS and its products and services are Despite Medicares allowing up to these maximums, each patients condition and response to treatment must medically warrant the number of services reported for payment. 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. All documentation must be maintained in the patient's medical record and made available to the contractor upon request. Could someone please help? Medicare expects that patients will not routinely require the maximum allowable number of services. A medically reasonable and necessary repeat avulsion or excision of the same nail within 32 weeks of a previous avulsion, or excision, of the same nail, will be considered upon redetermination. 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). This LCD describes conditions under which the coverage of nail avulsion/excision may be considered. Other conditions may also require avulsion of part or all of a nail. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available. I am having trouble deciding on which code to use for the removal of an ingrown toenail in an ambulatory outpatient setting. 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. 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. Use of CDT is limited to use in programs administered by Centers for Medicare & Medicaid Services (CMS). It is the providers responsibility to select codes carried out to the highest level of specificity and selected from the ICD-10-CM code book appropriate to the year in which the service is rendered for the claim(s) submitted. 11750. If you are experiencing any technical issues related to the search, selecting the 'OK' button to reset the search data should resolve your issues. endstream endobj startxref CPT code 11750 for nail excision permanent removal will be denied if billed for the same finger or toe following a previous excision. 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. If CPT procedure codes 11730, 11750, or 11765 are performed on different nails, report the procedure performed with one unit of service (UOS) and append with the appropriate identifying digit modifiers. An ingrown nail is growth of the nail edge into the surrounding soft tissue that may result in pain, inflammation or infection. 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 All the articles are getting from various resources. Injuries may include contusions, nail damage, and nail bed lacerations. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. It may not display this or other websites correctly. recipient email address(es) you enter. CPT code 26011, Drainage of finger abscess; complicated (eg, felon) should be reported with more complicated abscesses or a felon, which require debridement or irrigation for treatment. All Rights Reserved. For every subsequent avulsion, CPT 11732 is reported as the add-on code with one UOS and the appropriate identifying digit modifier appended. The op report states that the nail matrix was destroyed by "phenol and alcohol for permanent removal due to ingrown accessory nail". You must log in or register to reply here. Medicare will allow ten services per beneficiary per 24 months for CPT codes 11730 and/or 11732. The AMA does not directly or indirectly practice medicine or dispense medical services. Formatting changes made throughout the article. Please enable "JavaScript" and revisit this page or proceed with browsing CMS.gov with The views and/or positions Every page of the record must be legible and include appropriate patient identification information (e.g., complete name, dates of service[s]). 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. Article revised and published on 09/26/2019 due to system changes in response to CMS Change Request 10901, this article has undergone some reorganization in the coding section and the following new fields have been added: CPT/HCPCS Modifier, Additional ICD-10 Information, and Other Coding Information. License to use CPT for any use not authorized herein must be obtained through the AMA, CPT Intellectual Property Services, AMA Plaza 330 N. Wabash Ave., Suite 39300, Chicago, IL 60611-5885. Payment for services beyond this number will require medical review of patient records to determine medical necessity. Sign up to get the latest information about your choice of CMS topics in your inbox. of the Medicare program. Postoperative instructions given to the patient and any follow-up care (e.g., soaks, antibiotics, follow-up appointments). 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. authorized with an express license from the American Hospital Association. Applicable FARS/HHSARS apply. Listing of a code in this guideline does not imply that the service described by the code is a covered or non-covered health service. Medicaid and the State Children's Health Insurance Programs, contracts with certain organizations to assist in the administration The surgical treatment of nails is also covered for the following indications: Subungal abscess. You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. Your MCD session is currently set to expire in 5 minutes due to inactivity. f+HLYuDgIk$v4et(;,"fBgIFY`HHj|$=$>0 2 By clicking below on the button labeled "I accept", you hereby acknowledge that you have read, understood and agreed to all terms and conditions set forth in this agreement. Reproduced with permission. WebThe amputation code you used is not stated, but for a toe there are two CPT codes: 1) CPT 28820-Amputation, toe; metatarsophalangeal joint. You can use the Contents side panel to help navigate the various sections. Copyright © 2022, the American Hospital Association, Chicago, Illinois. A nail avulsion usually requires injected local anesthesia except in instances wherein the digit is devoid of sensation or there are other extenuating circumstances for which injectable anesthesia is not required or is medically contraindicated. Articles often contain coding or other guidelines that are related to a Local Coverage Determination (LCD). End Users do not act for or on behalf of the CMS. L60.0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The medical record must support the service, for example, there is an ingrown nail of the opposite border or a new significant pathology on the same border recently treated. This condition most commonly occurs in the great toes and may require surgical management. 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. If you are acting on behalf of an organization, you represent that you are authorized to act on behalf of such organization and that your acceptance of the terms of this agreement creates a legally enforceable obligation of the organization. If a nail bed injury requires repair, report it with 11760 (repair of nail bed, 3.27 RVUs, Medicare $117.84). 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 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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, 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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, 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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 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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.

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