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. Applicable Federal Acquisition Regulation Clauses (FARS)/Department of Defense Federal Acquisition Regulation supplement (DFARS) Restrictions Apply to Government Use. Web Ingrown toenail requires a procedure-removal . CPT code information is copyright by 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. One that meets, but does not exceed, the patients medical need. 846 0 obj <> endobj Short description: Encntr for surgical aftcr fol surgery on the skin, subcu The 2023 edition of ICD-10-CM Revenue Codes are equally subject to this coverage determination. License to use CPT for any use not authorized herein must be obtained through the AMA, CPT Intellectual Property Services, AMA Plaza 330 N. Wabash Ave., Suite 39300, Chicago, IL 60611-5885. 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. WebHow do you properly code bilateral hallux nail avulsions? For the following CPT/HCPCS code either the short description and/or the long description was changed. 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. End Users do not act for or on behalf of the CMS. Organizations who contract with CMS acknowledge that they may have a commercial CDT license with the ADA, and that use of CDT codes as permitted herein for the administration of CMS programs does not extend to any other programs or services the organization may administer and royalties dues for the use of the CDT codes are governed by their commercial license. Method of obtaining anesthesia (if not used, the reason for not using it). The responsibility for the content of this file/product is with CMS and no endorsement by the AMA is intended or implied. The article was reformatted to place pertinent information toward the beginning of the article. The CPT/HCPCS codes included in this LCD will be subjected to procedure to diagnosis editing. 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. Could someone please help? WebThe amputation code you used is not stated, but for a toe there are two CPT codes: 1) CPT 28820-Amputation, toe; metatarsophalangeal joint. By clicking below on the button labeled "I accept", you hereby acknowledge that you have read, understood and agreed to all terms and conditions set forth in this agreement. 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. 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 following information must be clearly documented in the patients medical record: Complete detailed description of the pre-operative findings. Any questions pertaining to the license or use of the CPT should be addressed to the AMA. For every subsequent avulsion, CPT 11732 is reported as the add-on code with one UOS and the appropriate identifying digit modifier appended. All Rights Reserved to AMA. E&M working up the patient for this initial encounter for a new problem requiring a procedure. A Draft article will eventually be replaced by a Billing and Coding article once the Proposed LCD is released to a final LCD. There is no For a better experience, please enable JavaScript in your browser before proceeding. You agree to take all necessary steps to insure that your employees and agents abide by the terms of this agreement. Local Coverage Articles are a type of educational document published by the Medicare Administrative Contractors (MACs). The description of CPT codes 11730, 11732 and 11750 indicates partial or complete avulsion or excision of a nail plate. Medicare contractors are required to develop and disseminate Articles. Reporting CPT code 11750 (excision) with CPT code 11765 (wedge resection) for the same digit on the same DOS is not correct coding.CPT code 11765 requires an excision of a wedge of the skin of the nail fold from the involved side of the toe. The 2023 edition of ICD-10-CM L60.0 became required field. complete information, CMS does not guarantee that there are no errors in the information displayed on this web site. Reproduced with permission. Use is limited to use in Medicare, Medicaid or other programs administered by the Centers for Medicare and Medicaid Services (CMS). Search Page 1/20: toenail removal - ICD10Data.com Regrowth of the nail usually requires at least four months. Podiatry Management Complicated wounds of the toes involving nail components. I agree with Kristie this is what I use as well. CPT code 26010, Drainage of finger abscess; simple represents this type of procedure. CPT is a trademark of the American Medical Association (AMA). Payment for services beyond this number will require medical review of patient records to determine medical necessity. Depending on which description is used in this Article, there may not be any change in how the code displays in the document: 11750. Ingrown Toenail Removal Coding Confusions? 11750 Answers will not infringe on privately owned rights. CDT is a trademark of the ADA. 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. Deformed nails that prevent wearing shoes or otherwise jeopardize the integrity of the toe. "JavaScript" disabled. 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. Brought to you by the ACEP Coding and Nomenclature Committee. f+HLYuDgIk$v4et(;,"fBgIFY`HHj|$=$>0 2 CPT 91311, 0111A, 0112A Covid Vaccine for children, 5 Important points to improve claim submission success rate. #2. Both avulsion and routine trimming/debridement will not be allowed on the same nail on the same day. The revenue codes and UB-04 codes are the IP of the American Hospital Association. Deformed nails that prevent wearing shoes or otherwise jeopardize the integrity of the toe. ICD-10 Codes: 1 M79.675 Pain in preparation of this material, or the analysis of information provided in the material. Medicare Cover Care for Ingrown Toenails Postoperative instructions given to the patient and any follow-up care (e.g., soaks, antibiotics, follow-up appointments). If a nail bed injury requires repair, report it with 11760 (repair of nail bed, 3.27 RVUs, Medicare $117.84). WebWhile most biopsies, shave removals, and excisions are performed using generic codes, there are specialized circumstances when more specific codes may be preferable. Therefore, if a drug is self-administered by more than 50 percent of Medicare beneficiaries, the drug is excluded from coverage" and the MAC will make no payment for the drug. This email will be sent from you to the Apr 18, 2014. CPT Codes, Descriptors, and other data only are copyright 1999 American Medical Association (or such other date of publication of CPT). The patients primary symptoms and previous treatment (if any) and description of the nail(s) at the time of avulsion services. BCBS prefix Why its important to read correctly. 0 CPT code 11750 for nail excision permanent removal will be denied if billed for the same finger or toe following a previous excision. Contractors may specify Bill Types to help providers identify those Bill Types typically 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. All Rights Reserved to AMA. Ingrown toenail removal can be performed without a tourniquet, but it is easier with a bloodless surgical field. Equally effective treatments for ingrown toenails are partial nail avulsion followed by phenolization or direct surgical excision of the nail matrix. If you are experiencing any technical issues related to the search, selecting the 'OK' button to reset the search data should resolve your issues. 5. ICD-10-CM Diagnosis Code Ingrown Toenail Surgery: Procedure and Aftercare - Healthline What code do you use? The views and/or positions CMS and its products and services are not endorsed by the AHA or any of its affiliates. Other conditions may also require avulsion of part or all of a nail. Applicable FARS\DFARS Restrictions Apply to Government Use. The nail often grows back to its original thickness and the offending margin again may become problematic, resulting in another nail avulsion. You acknowledge that the ADA holds all copyright, trademark and other rights in CDT. The surgical treatment of nails is also covered for the following indications: Subungal abscess. The scope of this license is determined by the AMA, the copyright holder. 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. Nail avulsions usually offer only temporary relief for ingrown toenails. The op report states that the nail matrix was destroyed by "phenol and alcohol for permanent removal due to ingrown accessory nail". Sign up to get the latest information about your choice of CMS topics in your inbox. 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). WebThe following surgical procedures represent the options used to treat complicated/symptomatic ingrowing nail (s): Avulsion of a nail (CPT codes 11730 and Response to Comment (RTC) articles list issues raised by external stakeholders during the Proposed LCD comment period. If you are looking for a specific code, use your browser's Find function (Ctrl-F) to quickly locate the code in the article. Complete absence of all Bill Types indicates which insurance is primary. Please do not use this feature to contact CMS. Nail Procedure CPT Codes - eatonhand.com Furnished in accordance with accepted standards of medical practice for the diagnosis or treatment of the patients condition or to improve the function of a malformed body member. Before sharing sensitive information, make sure you're on a federal government site. Coverage Indications, Limitations, and/or Medical Necessity. The use of specific terminology is important in applying codes for this condition. Documentation Requirements. Wedge excision of the nail fold hypertrophic granulation tissue with removal of the offending portion of the nail (CPT procedure code 11765). The surgical treatment of ingrown nails is considered to be medically appropriate and reasonable for an ingrown toenail in the advanced stage in which the lateral nail fold bulges over the nail plate causing erythema, edema, and tenderness, and granulation of the epithelium inhibits serous drainage and precludes any chance of elevating the nail edge from the dermis of the lateral skin fold. This policy describes conditions under which Medicare payment for nail avulsion may be made. WebLogic for incision: You should report each toenail removal: 11750 for the first complete removal and 11750 for the second removal. descriptions may not be removed, copied, or utilized within any software, product, service, solution or derivative work 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. It is the providers responsibility to select codes carried out to the highest level of specificity and selected from the ICD-10-CM code book appropriate to the year in which the service is rendered for the claim(s) submitted. Integumentary Procedures for Injuries. Coding 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. of every MCD page. %PDF-1.5 % accuracy of any information contained in this material, nor was the AHA or any of its affiliates, involved in the The AMA does not directly or indirectly practice medicine or dispense medical services. All Rights Reserved. Billing and Coding articles provide guidance for the related Local Coverage Determination (LCD) and assist providers in submitting correct claims for payment. A medically reasonable and necessary repeat avulsion or excision of the same nail within 32 weeks of a previous avulsion, or excision, of the same nail, will be considered upon redetermination. Modifier 53 A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. 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 Title XVIII of the Social Security Act, Section 1833(e) states that no payment shall be made to any provider of services or other person under this part unless there has been furnished such information as may be necessary in order to determine the amounts due such provider or other person under this part for the period with respect to which the amounts are being paid or for any prior period. All diagnoses not listed in the ICD-9-CM Codes That Support Medical Necessity section of this LCD. Medicare Advantage Policy Guideline Nail Avulsion CPT code 11730 ,11732, 11750, 11765 of the Medicare program. damages arising out of the use of such information, product, or process. 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). 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.