Regrowth of the nail usually requires at least four months. Crushing injuries of the toes. Furnished in a setting appropriate to the patients medical needs and condition. 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 Type and quantity of local anesthetic agent used. Wedge excision of the nail fold hypertrophic granulation tissue with removal of the offending portion of the nail (CPT procedure code 11765). 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 Could someone please help? Excision of the nail and the nail matrix (CPT code 11750) performed under local anesthesia (unless the digit is devoid of sensation, which should be documented) 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. 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. 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. A fingertip contusion may result in a subungual hematoma requiring trephination to relieve pressure and pain. apply equally to all claims. All the articles are getting from various resources. 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). An official website of the United States government. Article revised and published on 04/18/2019 to add the CPT and ICD-10 codes from the related LCD, L34887 Surgical Treatment of Nails, in response to CMS Change Request 10901. CPT Codes, Descriptors, and other data only are copyright 1999 American Medical Association (or such other date of publication of CPT). 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 All Rights Reserved to AMA. 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. Identify the specific digit(s) and make note to the nail margin(s) involved on which the procedure was performed. Use 11730 for 'Avulsion' of the ingrown nail and nail plate for temporary removal. Also, you can decide how often you want to get updates. There are multiple ways to create a PDF of a document that you are currently viewing. Procedure code 11730 (Avulsion of nail 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. The AMA assumes no liability for data contained or not contained herein. The patients primary symptoms and previous treatment (if any) and description of the nail(s) at the time of avulsion services. Method of obtaining anesthesia (if not used, the reason for not using it). 2) CPT 28825-Amputation, toe; interphalangeal joint. Payment conditions for routine foot care are described in the TrailBlazer LCD Routine Foot Care 4P-11AB.. 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. 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. 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). If your session expires, you will lose all items in your basket and any active searches. Complete absence of all Bill Types indicates It may not display this or other websites correctly. Neither the United States Government nor its employees represent that use of such information, product, or processes 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. You are leaving the CMS MCD and are being redirected to the CMS MCD Archive that contains outdated (No Longer In Effect) Local Coverage Determinations and Articles, You are leaving the CMS MCD and are being redirected to, Billing and Coding: Surgical Treatment of Nails, AMA CPT / ADA CDT / AHA NUBC Copyright Statement, Group 1 Medical Necessity ICD-10-CM Codes Asterisk Explanation, Article - Billing and Coding: Surgical Treatment of Nails (A52998). #2. Medicare will allow ten services per beneficiary per 24 months for CPT codes 11730 and/or 11732. The following lists include only those diagnoses for which the identified CPT/HCPCS procedures are covered. registered for member area and forum access. Medicare expects that patients will not routinely require the maximum allowable number of services. Other conditions may also require avulsion of part or all of a nail. This policy describes conditions under which Medicare payment for nail avulsion may be made. recipient email address(es) you enter. THE UNITED STATES Patient has WC and Medicare insurance? Applicable Federal Acquisition Regulation Clauses (FARS)/Department of Defense Federal Acquisition Regulation supplement (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. WebLogic for incision: You should report each toenail removal: 11750 for the first complete removal and 11750 for the second removal. CPT 91311, 0111A, 0112A Covid Vaccine for children, 5 Important points to improve claim submission success rate. Postoperative instructions given to the patient and any follow-up care (e.g., soaks, antibiotics, follow-up appointments). An ingrown nail is growth of the nail edge into the surrounding soft tissue that may result in pain, inflammation or infection. 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. an effective method to share Articles that Medicare contractors develop. The article was reformatted to place pertinent information toward the beginning of the article. CMS and its products and services are Wedge excision of the nail fold hypertrophic granulation tissue with removal of the offending portion of the nail (CPT code 11765). Some articles contain a large number of codes. Billing and Coding articles provide guidance for the related Local Coverage Determination (LCD) and assist providers in submitting correct claims for payment. Formatting changes made throughout the article. The AMA does not directly or indirectly practice medicine or dispense medical services. 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. Please do not use this feature to contact CMS. Please visit the, Chapter 23, Section 20.9 National Correct Coding Initiative (CCI), Chapter 1, General Correct Coding Policies for National Correct Coding Initiative Policy Manual for Medicare Services, Chapter 3, Surgery: Integumentary System CPT codes 10000-19999 For National Correct Coding Initiative Policy Manual for Medicare Services. Nail avulsions usually offer only temporary relief for ingrown toenails. The surgical treatment of nails is also covered for the following indications: Subungal abscess. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. The CPT/HCPCS codes included in this LCD will be subjected to procedure to diagnosis editing. This condition most commonly occurs in the great toes and may require surgical management. JavaScript is disabled. Instructions for enabling "JavaScript" can be found here. If you are experiencing any technical issues related to the search, selecting the 'OK' button to reset the search data should resolve your issues. In most instances Revenue Codes are purely advisory. "JavaScript" disabled. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); 2023. Applicable FARS\DFARS Restrictions Apply to Government Use. Article revised and published on 06/02/2022 effective for dates of service on and after 06/06/2022. used to report this service. All Rights Reserved to AMA. ISSN 2333-2603. Draft articles have document IDs that begin with "DA" (e.g., DA12345). Making copies or utilizing the content of the UB‐04 Manual, including the codes and/or descriptions, for internal purposes, You agree to take all necessary steps to insure that your employees and agents abide by the terms of this agreement. If a covered diagnosis is not on the claim, the edit will automatically deny the service as not medically necessary. You must log in or register to reply here. We have billed the procedures several ways, and have been getting denials recently. The scope of this license is determined by the AMA, the copyright holder. Crushing injuries of the fingers. While every effort has been made to provide accurate and All Rights Reserved. The AMA is a third party beneficiary to this Agreement. 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. Before sharing sensitive information, make sure you're on a federal government site. CPT is a trademark of the American Medical Association (AMA). recommending their use. 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. Please review and accept the agreements in order to view Medicare Coverage documents, which may include licensed information and codes. Integumentary Procedures for Injuries. WebThe documentation states the entire nail and root (nail matrix) are removed. f+HLYuDgIk$v4et(;,"fBgIFY`HHj|$=$>0 2 CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL CONTAINED ON THIS PAGE. Report each additional nail with the add-on code 11732 (avulsion of nail plate, partial or complete, simple, additional nail plate, 0.51 RVUs, Medicare $18.38). Applications are available at the American Dental Association web site. ,lEPnL^aB8. Draft articles are articles written in support of a Proposed LCD. Use is limited to use in Medicare, Medicaid or other programs administered by the Centers for Medicare and Medicaid Services (CMS). 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. 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. Absence of a Bill Type does not guarantee that the 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. The views and/or positions Therefore, a partial or complete excision of nail and nail matrix may be the preferred course of treatment for recurrent ingrown nails. Note. However, please note that once a group is collapsed, the browser Find function will not find codes in that group. WebEncounter for removal of intrauterine contraceptive device Intrauterine device removal done; Iud removal; Removal of intrauterine contraceptive device done ICD-10-CM Diagnosis 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. All rights reserved. Postoperative observation and treatment of the surgical site (e.g., minimal bleeding, sterile dressing applied). damages arising out of the use of such information, product, or process. 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. Coverage Indications, Limitations, and/or Medical Necessity. "et|+D+CDuM@9 Jad(v f-n,Q@w5t complete information, CMS does not guarantee that there are no errors in the information displayed on this web site. The following list(s) of procedure and/or diagnosis codes is provided for reference purposes only and may not be all inclusive. GOVERNMENT AND ITS EMPLOYEES ARE NOT LIABLE FOR ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION, PRODUCT, OR PROCESSES WebI was hoping someone could help me with coding for the procedure for a chemical matrixectomy. A claim submitted without a valid ICD-10-CM diagnosis code will be returned to the provider as an incomplete claim under Section 1833 (e) of the Social Security Act. Routine foot care is covered only when certain systemic conditions are present. The Medicare program provides limited benefits for outpatient prescription drugs. If a nail bed injury requires repair, report it with 11760 (repair of nail bed, 3.27 RVUs, Medicare $117.84). This condition most commonly occurs in the great toes and may require surgical management. If you are acting on behalf of an organization, you represent that you are authorized to act on behalf of such organization and that your acceptance of the terms of this agreement creates a legally enforceable obligation of the organization. The following information must be clearly documented in the patients medical record: Complete detailed description of the pre-operative findings. Applicable FARS/HHSARS apply. hWmO8+jRz[&$gZgA&eL{Lz(POJ$C Q|D| bJ)PbR,AAqL For every subsequent avulsion, CPT 11732 is reported as the add-on code with one UOS and the appropriate identifying digit modifier appended. authorized with an express license from the American Hospital Association. At least as beneficial as an existing and available medically appropriate alternative. Use of CDT is limited to use in programs administered by Centers for Medicare & Medicaid Services (CMS). will not infringe on privately owned rights. If a tourniquet is used, it should be removed as soon The views and/or positions presented in the material do not necessarily represent the views of the AHA. Injuries may include contusions, nail damage, and nail bed lacerations. 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. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. If you are looking for a specific code, use your browser's Find function (Ctrl-F) to quickly locate the code in the article. Short description: Encntr for surgical aftcr fol surgery on the skin, subcu The 2023 edition of ICD-10-CM 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. No portion of the American Hospital Association (AHA) copyrighted materials contained within this publication may be 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. presented in the material do not necessarily represent the views of the AHA. 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 endstream endobj startxref Using modifier 50 to the second removal tells the insurer that the podiatrist carries out the toe removal as bilateral procedure. CPT 11055, 11056, 11057, 11719, 11720, 11721 - Routine Foot Care Services Coding Code Description CPT 11055 Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion 11056 Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions 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? 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. Medicare contractors are required to develop and disseminate Articles. Medicare requires the medical necessity for each service reported to be clearly demonstrated in the patients medical record. The submitted CPT/HCPCS code must describe the service performed. Dr. Granovsky is president of coding for LogixHealth. Note that when an avulsion is performed to facilitate a nail bed repair, it is bundled and not separately reportable. 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. If an entity wishes to utilize any AHA materials, please contact the AHA at 312‐893‐6816. There is no Removal of nail bed Average fee payment $190. accuracy of any information contained in this material, nor was the AHA or any of its affiliates, involved in the All diagnoses not listed in the ICD-9-CM Codes That Support Medical Necessity section of this LCD. 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: 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.