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. Contractors may specify Bill Types to help providers identify those Bill Types typically Despite Medicares allowing up to these maximums, each patients condition and response to treatment must medically warrant the number of services reported for payment. 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? Applications are available at the AMA Web site, http://www.ama-assn.org/go/cpt. If this is your first visit, be sure to check out the. 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. 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). 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. Medicare requires the medical necessity for each service reported to be clearly demonstrated in the patients medical record. Please reach out and we would do the investigation and remove the article. I agree with Kristie this is what I use as well. accuracy of any information contained in this material, nor was the AHA or any of its affiliates, involved in the resale and/or to be used in any product or publication; creating any modified or derivative work of the UB‐04 Manual and/or codes and descriptions; Modifier 53 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. I am leaning towards an unlisted code rather than CPT 11750 since CPT 11750 references surgical 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. authorized with an express license from the American Hospital Association. required field. The AMA is a third party beneficiary to this Agreement. The following information must be clearly documented in the patients medical record: Complete detailed description of the pre-operative findings. You can use the Contents side panel to help navigate the various sections. 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). 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. 5. You acknowledge that the ADA holds all copyright, trademark and other rights in CDT. This LCD imposes utilization guideline limitations. I code 11750 at our facility. There are multiple ways to create a PDF of a document that you are currently viewing. Billing and Coding articles provide guidance for the related Local Coverage Determination (LCD) and assist providers in submitting correct claims for payment. If you are looking for a specific code, use your browser's Find function (Ctrl-F) to quickly locate the code in the article. End Users do not act for or on behalf of the CMS. Podiatry Management The submitted medical record must support the use of the selected ICD-10-CM code(s). A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. Podiatry Management ICD-10-CM Diagnosis Code 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. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); 2023. Article document IDs begin with the letter "A" (e.g., A12345). The following list(s) of procedure and/or diagnosis codes is provided for reference purposes only and may not be all inclusive. damages arising out of the use of such information, product, or process. ICD-10 Codes: 1 M79.675 Pain in will not infringe on privately owned rights. which insurance is primary. 2023 ICD-10-CM Diagnosis Code L60.0: Ingrowing nail CPT is a trademark of the American Medical Association (AMA). The following lists include only those diagnoses for which the identified CPT/HCPCS procedures are covered. 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 $56.94). The license granted herein is expressly conditioned upon your acceptance of all terms and conditions contained in this agreement. Contusion injuries of nails. A complete detailed description of the procedure performed. CPT codes, descriptions and other data only are copyright 2022 American Medical Association. WebLogic for incision: You should report each toenail removal: 11750 for the first complete removal and 11750 for the second removal. Complete absence of all Bill Types indicates that coverage is not influenced by Bill Type and the policy should be assumed to apply equally to all claims. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. CPT code 26011, Drainage of finger abscess; complicated (eg, felon) should be reported with more complicated abscesses or a felon, which require debridement or irrigation for treatment. The Utilization Parameters section of the Article has been revised to remove the direction for the use of modifiers 76 and 77 and to add instructions that repeat services on the same nail, within 32 weeks, will be considered upon redetermination. Using modifier 50 to the second removal tells the insurer that the podiatrist carries out the toe removal as bilateral procedure. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CDT for resale and/or license, transferring copies of CDT to any party not bound by this agreement, creating any modified or derivative work of CDT, or making any commercial use of CDT. f+HLYuDgIk$v4et(;,"fBgIFY`HHj|$=$>0 2 Sometimes, a large group can make scrolling thru a document unwieldy. 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. 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. Billing and Coding: Routine Foot Care and Debridement of Nails Federal government websites often end in .gov or .mil. The surgical treatment of nails is also covered for the following indications: Subungal abscess. apply equally to all claims. The CPT/HCPCS codes included in this LCD will be subjected to procedure to diagnosis editing. 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). Self-Administered Drug (SAD) Exclusion List articles list the CPT/HCPCS codes that are excluded from coverage under this category. Complicated wounds of the toes involving nail components. Postoperative instructions given to the patient and any follow-up care (e.g., soaks, antibiotics, follow-up appointments). Draft articles are articles written in support of a Proposed LCD. Note: Providers are reminded to refer to the long descriptors of the CPT codes in their CPT book. The 2023 edition of ICD-10-CM L60.0 became L60.0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. All Rights Reserved (or such other date of publication of CPT). Other conditions may also require avulsion of part or all of a nail. Contractor Information LCD Information - epipg.com 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. Trimming of ingrown toenail | Medical Billing and Coding The program covers drugs that are furnished "incident-to" a physician's service provided that the drugs are not "usually self-administered" by the patient. 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 Another option is to use the Download button at the top right of the document view pages (for certain document types). B. Single-center 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). If a tourniquet is used, it should be removed as soon CPT ICD-10-CM Diagnosis Code Ingrown Toenail Management | AAFP 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. The AMA does not directly or indirectly practice medicine or dispense medical services. (Refer to LCD: Routine Foot Care). No fee schedules, basic unit, relative values or related listings are included in CPT. Payment for services beyond this number will require medical review of patient records to determine medical necessity. Please refer to the LCD for reasonable and necessary requirements.Coding GuidelinesNotice: It is not appropriate to bill Medicare for services that are not covered (as described by the entire LCD) as if they are covered. Ordered and furnished by qualified personnel. DISCLOSED HEREIN. Identify the specific digit(s) and make note to the nail margin(s) involved on which the procedure was performed. Removal of nail bed Average fee payment $190. The submitted CPT/HCPCS code must describe the service performed. CPT code information is copyright by An asterisk (*) indicates a WebWhat is the code for partial laparoscopic colectomy with anastomosis and coloproctostomy? Z48.817 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. For the following CPT/HCPCS code either the short description and/or the long description was changed. All rights reserved. WebEncounter for removal of intrauterine contraceptive device Intrauterine device removal done; Iud removal; Removal of intrauterine contraceptive device done ICD-10-CM Diagnosis All documentation must be maintained in the patient's medical record and made available to the contractor upon request. 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. Podiatry Specialty ICD-10-CM Coding Required fields are marked *. For every subsequent avulsion, CPT 11732 is reported as the add-on code with one UOS and the appropriate identifying digit modifier appended. of every MCD page. GOVERNMENT AND ITS EMPLOYEES ARE NOT LIABLE FOR ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION, PRODUCT, OR PROCESSES Instructions for enabling "JavaScript" can be found here. How to Code Nail Procedures - ACEP Now 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 An official publication of: American College of Emergency Physicians, Coding Wizard: How to Document Burn Treatment, ACEP Submits Comprehensive Response to Proposed Physician Fee Schedule, 2023 Documentation Guideline Changes for ED E/M Codes 99281-99285. The CMS.gov Web site currently does not fully support browsers with All Rights Reserved to AMA. The documentation must include the legible signature of the physician or non-physician practitioner responsible for and providing the care to the patient. National Correct Coding Initiative (NCCI) Citation: Social Security Act (Title XVIII) Standard References: This Billing and Coding Article provides billing and coding guidance for Local Coverage Determination (LCD) L34887 Surgical Treatment of Nails. We have billed the procedures several ways, and have been getting denials recently. Question: Are there different codes for managing nail problems? 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. article does not apply to that Bill Type. Copyright © 2022, the American Hospital Association, Chicago, Illinois. Topics: Nail ProceduresReimbursement & Coding, No Responses This condition most commonly occurs in the great toes and may require surgical management. Other conditions may also require avulsion of part or all of a nail. CMS and its products and services are not endorsed by the AHA or any of its affiliates. endstream endobj startxref The use of specific terminology is important in applying codes for this condition. WebApplicable Codes . 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. If you are experiencing any technical issues related to the search, selecting the 'OK' button to reset the search data should resolve your issues. Ingrown toenail removal can be performed without a tourniquet, but it is easier with a bloodless surgical field. Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. 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. Answer: Nail and nail bed procedures may be required for injuries or medical conditions. copied without the express written consent of the AHA. The op report states that the nail matrix was destroyed by "phenol and alcohol for permanent removal due to ingrown accessory nail". To submit a comment or question to CMS, please use the Feedback/Ask a Question link available at the bottom Apr 18, 2014. 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. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'.This can arise Postoperative observation and treatment of the surgical site (e.g., minimal bleeding, sterile dressing applied). Ingrown Toenail Removal Coding Confusions? 11750 Answers How to TRANSITIONING/TRANSFERRING OF ENROLLEES to MCO, What is Patient driven Grouping model how its working, Workers Compensation Medicare Set-Aside Arrangement (WCMSA) Full coverage, Understanding Medicare cost Reports and usage. Claims must include the nail on which the procedure is performed using one of the modifiers listed in the Coding Information section below to identify the digit in order for payment to be considered.For services performed on different nails: Utilization ParametersCPT codes 11730 and 11732 for nail avulsion will be denied if billed for the same finger less than 4 months (16 weeks) or the same toe less than 8 months (32 weeks) following a previous avulsion. E&M working up the patient for this initial encounter for a new problem requiring a procedure. Applicable FARS/HHSARS apply. 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". 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 Procedure CPT Codes - eatonhand.com CMS and its products and services are 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. When billing for non-covered services, use the appropriate modifier. CPT 11055, 11056, 11057, 11719, 11720, 11721 - Routine All Rights Reserved to AMA. 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. Use of CDT is limited to use in programs administered by Centers for Medicare & Medicaid Services (CMS). hbbd```b``Y"H^0[~ 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 Some articles contain a large number of codes. 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. 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). This Agreement will terminate upon notice if you violate its terms. ,lEPnL^aB8. Paronychia. 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 Injuries may include contusions, nail damage, and nail bed lacerations. You must log in or register to reply here. used to report this service. Medicaid and the State Children's Health Insurance Programs, contracts with certain organizations to assist in the administration Local Coverage Articles are a type of educational document published by the Medicare Administrative Contractors (MACs). Wedge excision of the nail fold hypertrophic granulation tissue with removal of the offending portion of the nail (CPT code 11765). Anemia is the most common condition included in this chapter. 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. Both have a 0 day global period which means any care after the amputation day is an E/M. %PDF-1.5 % CMS believes that the Internet is The revenue codes and UB-04 codes are the IP of the American Hospital Association. Ingrown Toenail Removal | AAFP - American Academy of Family 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 This email will be sent from you to the Coding to How to Code Nail Procedures, Your email address will not be published. Medicare will allow ten services per beneficiary per 24 months for CPT codes 11730 and/or 11732. Coding for Common Integumentary Procedures in the Urgent The responsibility for the content of this file/product is with CMS and no endorsement by the AMA is intended or implied. 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.
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