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Disengaged Toenail

  1. #1
    Overland Park, KS
    Default Disengaged Toenail
    Medical Coding Books
    A patient came to the clinic for removal of a toenail. The diagnosis provided is disengaged left toenail.

    Any idea what ICD-9-CM code to use for a disengaged toenail?
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow

  2. #2
    Stuart, Florida
    Hopefully, this helps...?

    703.8, other specifed diseases of the nail is the code for onycholysis. Onycholysis refers to the detachment of the nail from the nail bed, starting at its distal and/or lateral attachment. It is said to occur particularly on the ring finger but can occur on any of the fingernails. The most common cause of onycholysis is psoriasis. It can also occur in thyrotoxicosis and is thought to be due to sympathetic overactivity. It may also be seen in infections or trauma.
    Vanessa Mier, CPC

  3. #3
    Overland Park, KS

    Thank you so very much! This helps!
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow

  4. #4
    Default disengaged toenail
    It can also be caused by an injury.
    Diana Wilson, CPC. CPMA, CPC-I
    PMCC Instructor

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