I am having trouble deciding on which code to use for the removal of an ingrown toenail in an ambulatory outpatient setting. 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. 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. 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. 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). Brought to you by the ACEP Coding and Nomenclature Committee. 11730 is more appropriate. 11750 is for permanent removal and your note does not give any indication that this was permanent. Check with the insurance company on whether I&D is also billable. 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. This LCD imposes diagnosis limitations that support diagnosis to procedure code automated denials. The American Hospital Association ("the AHA") has not reviewed, and is not responsible for, the completeness or accuracy of any information contained in this material, nor was the AHA or any of its affiliates, involved in the preparation of this material, or the analysis of information provided in the material. %PDF-1.5 % damages arising out of the use of such information, product, or process. Therefore, a partial or complete excision of nail and nail matrix may be the preferred course of treatment for recurrent ingrown nails. Article revised and published on 01/12/2017 effective for dates of service on and after 01/01/2017 to reflect the annual CPT/HCPCS code updates. Deformed nails that prevent wearing shoes or otherwise jeopardize the integrity of the toe. 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. Not experimental or investigational (exception: routine costs of qualifying clinical trial services with dates of service on or after September 19, 2000, which meet the requirements of the clinical trials NCD are considered reasonable and necessary). The license granted herein is expressly conditioned upon your acceptance of all terms and conditions contained in this agreement. 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. 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, These materials contain Current Dental Terminology (CDTTM), copyright© 2022 American Dental Association (ADA). 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. A complete detailed description of the procedure performed. Medicare will allow ten services per beneficiary per 24 months for CPT codes 11730 and/or 11732. The scope of this license is determined by the AMA, the copyright holder. Apr 18, 2014. No fee schedules, basic unit, relative values or related listings are included in CPT. 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. Dr. Granovsky is president of coding for LogixHealth. 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. 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 Unless specified in the article, services reported under other Medicare contractors are required to develop and disseminate Articles. Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. presented in the material do not necessarily represent the views of the AHA. 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. If a tourniquet is used, it should be removed as soon Z48.817 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 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. CPT codes covered if selection criteria are met: 11055: Paring or cutting of benign hyperkeratotic lesion (e.g., corn or callus); single lesion: 11056: two to four lesions: Absence of a Bill Type does not guarantee that the For the following CPT/HCPCS code either the short description and/or the long description was changed. Answer: Nail and nail bed procedures may be required for injuries or medical conditions. The following information must be clearly documented in the patients medical record: Complete detailed description of the pre-operative findings. 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. Could someone please help? The page could not be loaded. authorized with an express license from the American Hospital Association. Routine foot care is covered only when certain systemic conditions are present. All rights reserved. An ingrown nail is growth of the nail edge into the surrounding soft tissue that may result in pain, inflammation or infection. Nail avulsions usually offer only temporary relief for ingrown toenails. Identify the specific digit(s) and make note to the nail margin(s) involved on which the procedure was performed. End User License Agreement: The American Hospital Association (the "AHA") has not reviewed, and is not responsible for, the completeness or )+H PfA $AAL3P;TJ1-P$.{qi6K~q*i>8/qq(ecT~coM1e[_MQf9CH&=*?q!1?ie\|73gLbm}k]|'EbZu;;!Wqc/8q1 4 I#)U?jq"m_jQ2E%&AqjtMo~vs_-.j[%Trj7-s,JK.wZ2'S%"__. 846 0 obj <> endobj Procedure code 11730 (Avulsion of nail WebFor ingrown toenails, a podiatrist may remove a section of the nail and give you a prescription to treat the infection. Web Ingrown toenail requires a procedure-removal . and/or making any commercial use of UB‐04 Manual or any portion thereof, including the codes and/or descriptions, is only Medicare requires the medical necessity for each service reported to be clearly demonstrated in the patients medical record. B. Single-center If this is your first visit, be sure to check out the. 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. Paronychia. Wedge excision of skin of nail fold (CPT code 11765) is designed to relieve pressure on the nail/soft 907 0 obj <>stream Applicable FARS\DFARS Restrictions Apply to Government Use. 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. Making copies or utilizing the content of the UB‐04 Manual, including the codes and/or descriptions, for internal purposes, The 2023 edition of ICD-10-CM L60.0 became 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. Some articles contain a large number of codes. The surgical treatment of ingrown nails is considered to be medically appropriate and reasonable for an ingrown toenail in the advanced stage in which the lateral nail fold bulges over the nail plate causing erythema, edema, and tenderness, and granulation of the epithelium inhibits serous drainage and precludes any chance of elevating the nail edge from the dermis of the lateral skin fold. 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. CPT codes, descriptions and other data only are copyright 2022 American Medical Association. (Refer to LCD: Routine Foot Care). You acknowledge that the ADA holds all copyright, trademark and other rights in CDT. The Medicare program provides limited benefits for outpatient prescription drugs. Any questions pertaining to the license or use of the CPT should be addressed to the AMA. used to report this service. not endorsed by the AHA or any of its affiliates. In most instances Revenue Codes are purely advisory. Use 11730 for 'Avulsion' of the ingrown nail and nail plate for temporary removal. There are multiple ways to create a PDF of a document that you are currently viewing. All rights reserved. However, services performed for any given diagnosis must meet all of the indications and limitations stated in this policy, the general requirements for medical necessity as stated in CMS payment policy manuals, any and all existing CMS national coverage determinations, and all Medicare payment rules. Integumentary Procedures for Injuries. An official website of the United States government. %%EOF 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". 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. Your MCD session is currently set to expire in 5 minutes due to inactivity. 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. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. Note that when an avulsion is performed to facilitate a nail bed repair, it is bundled and not separately reportable. 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). Type and quantity of local anesthetic agent used. Coverage Indications, Limitations, and/or Medical Necessity. Ordered and furnished by qualified personnel. DISCLOSED HEREIN. 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 This Agreement will terminate upon notice if you violate its terms. The revenue codes and UB-04 codes are the IP of the American Hospital Association. This condition most commonly occurs in the great toes and may require surgical management. article does not apply to that Bill Type. At least as beneficial as an existing and available medically appropriate alternative. Ingrown toenail surgery is a relatively minor outpatient procedure to remove part of an ingrown toenail and to kill the portion of the nail matrix from which it grows. 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. Payment conditions for routine foot care are described in the TrailBlazer LCD Routine Foot Care 4P-11AB.. Chapter 12 Diseases of the Skin and Subcutaneous Tissue Code expansions: Updates to medical terminology. Applicable Federal Acquisition Regulation Clauses (FARS)/Department of Defense Federal Acquisition Regulation supplement (DFARS) Restrictions Apply to Government Use. All diagnoses not listed in the ICD-9-CM Codes That Support Medical Necessity section of this LCD. Draft articles are articles written in support of a Proposed LCD. End Users do not act for or on behalf of the CMS. This condition most commonly occurs in the great toes and may require surgical management. 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 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. This page displays your requested Article. 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 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? 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. 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. hbbd```b``Y"H^0[~ to How to Code Nail Procedures, Your email address will not be published. As used herein, "you" and "your" refer to you and any organization on behalf of which you are acting. All the articles are getting from various resources. Deformed nails that prevent wearing shoes or otherwise jeopardize the integrity of the toe. For every subsequent avulsion, CPT 11732 is reported as the add-on code with one UOS and the appropriate identifying digit modifier appended. WebAvulsion of a nail plate (CPT codes 11730 and 11732) is, generally, performed under local anesthesia. WebThe documentation states the entire nail and root (nail matrix) are removed. 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. Patient has WC and Medicare insurance? 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. With appropriate surgical management and instruction for proper shoes and nail care, the problem of ingrowing nails should not recur. 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. preparation of this material, or the analysis of information provided in the material. 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). Z codes represent reasons for encounters. WebLogic for incision: You should report each toenail removal: 11750 for the first complete removal and 11750 for the second removal. If injectable anesthesia was not used, the reason must be clearly documented in the patients medical record. A Draft article will eventually be replaced by a Billing and Coding article once the Proposed LCD is released to a final LCD. Furnished in a setting appropriate to the patients medical needs and condition. The use of specific terminology is important in applying codes for this condition. You, your employees and agents are authorized to use CPT only as agreed upon with the AMA internally within your organization within the United States for the sole use by yourself, employees and agents. Complete absence of all Revenue Codes indicates that coverage is not influenced by Revenue Code and the policy should be assumed to apply equally to all Revenue Codes. Question: Are there different codes for managing nail problems? The AMA does not directly or indirectly practice medicine or dispense medical services. If a nail bed injury requires repair, report it with 11760 (repair of nail bed, 3.27 RVUs, Medicare $117.84). It may not display this or other websites correctly. registered for member area and forum access. Topics: Nail ProceduresReimbursement & Coding, No Responses No portion of the American Hospital Association (AHA) copyrighted materials contained within this publication may be The description of CPT codes 11730, 11732 and 11750 indicates partial or complete avulsion or excision of a nail plate. If you do not agree with all terms and conditions set forth herein, click below on the button labeled "I do not accept" and exit from this computer screen. Medicaid and the State Children's Health Insurance Programs, contracts with certain organizations to assist in the administration If another service is provided along with the avulsion, full documentation of the medical need for the service and description of the procedure must be recorded in the patients file. You can use the Contents side panel to help navigate the various sections. In the numeric section of the CPT, the removal of the nail and nail matrix is code 11750. There is no mention of removing a wedge of restrictive skin in the nail fold to relieve the ingrown toenail hb```b``fa`e``db@ !+A6 "TaWYX+3*:+[02z-v 3t/pu0r2X2``8'\@Tw$X3Cg^-rtr_s|gvN/X|gN!v~K9c!FBKRv3!YI\w|g"kgvQR;U`iDA`OYj%}u\L_@ ;g4gx(T"Q\:..U,Cu)7K;7X;r0b20(w $n-^$!d^$!u\H: 7[LerFd/ d2 ( #b+i~3Z2We \81g/Aq493Ed5@/fg`0gL_U L To submit a comment or question to CMS, please use the Feedback/Ask a Question link available at the bottom If you would like to extend your session, you may select the Continue Button. 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, 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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 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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.
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