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Monday, September 14, 2015

Billing Ingrown Nail under the new ICD-10 Codes

It seems as though the ingrown toenail codes that are billable to the highest level of specificity  right now are for the right and left great toenails.  I guess this is not that big of a deal, considering most of the ingrown toenails are usually the big toenails.  The old code for ingrown toenail was 703.0 is now L60.0 there is no laterality with this code but I would use this code with the other ones suggested next.  The old code for paronychia or infected ingrown nail was 681.11.  The new ICD-10 code has laterality but only for the great toes.  Right great toe infected ingrown toe nail is L03.031 and left is L03.032.  So if you are billing a 11730 or a 11750 the modifier for the toe should still be used on the CPT code.

Billing 11730 or 11750

Use the following codes:
L60.0- Ingrown Nail
L03.031- if right hallux  modifier on CPT code T5
L03.032- if left hallux    modifier on CPT code TA
M79.609 which is just pain in limb this is the unspecified pain in limb because there is no pain in limb in foot or toes specific.

This is pretty straightforward information, so far as it looks in the new world of ICD-10.  Again, in our practice, this is a procedure that we perform several times throughout the day.  I suggest knowing what you do every day inside out.  The more common things should be well established in your mind before October 1st, 2015 so this transition is smooth for you.  If you have a good EMR you will be able to look up the specific code translation from ICD9 to ICD10, and there are so many nice resources available on the web for your reference for the "zebras" that walk into your office.  Remember, know your codes for plantar fasciitis/heel pain, diabetic foot care, ingrown nails, and the other most common patients you see a day.  There is a lot of transparency in what we do, but in a good way.  Many people come to us for very simple problems and we have simple answers to help them in usually a very cost effective way.

Michele McGowan, DPM
The Center for Ankle and Foot Care
http://centeranklefootcare.com/catalog/c14_p1.html

16 comments:

  1. what icd code would you use when you have trauma to nail and nail is lifting off and you remove nail totally

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    Replies
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      THIS IS GENUINE. NO SCAM. Hi! My name is Myriam Boyer. I want to tell my testimony to the whole world how this great and powerful man called great baba helped me to bring back my partner. My man left me for another lady for five years. I almost gave up until my friend advised me and introduced me to this great man whom she met on the internet. I never believed at first but she encouraged me and i tried to believe and contacted him on his email. I told and explained everything to him and he assured me that he will help me and that i should not worry too much. I believed him and i did all that he asked me to do which i did and it work perfectly and my husband came back to me begging for forgiveness. I am so happy and excited now. I discovered that when my husband came back he even loved me more than the way he used to love me before he left me. great baba opened up his eyes to see how much i love him and how much love we ought to share together as one. This is not brain washing contact great baba now on his email: Highersolutiontemple@yahoo.com

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    2. i want to say a very big thanks and appreciation to Dr. Keke Odin the chief priest of all spell casters worldwide for bringing back my husband who left i and the kids for almost three months within the space of two days after following all instruction given to me. i am very much grateful for restoring peace in my marital home, and i pray God almighty give you the strength and wisdom to continue helping more people having similar relationship and marital problem like mine. for help you can contact him now through his email and mobile number below

      Email: greatkekespelltemple@gmail.com

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      i want to say a very big thanks and appreciation to Dr. Keke Odin the chief priest of all spell casters worldwide for bringing back my husband who left i and the kids for almost three months within the space of two days after following all instruction given to me. i am very much grateful for restoring peace in my marital home, and i pray God almighty give you the strength and wisdom to continue helping more people having similar relationship and marital problem like mine. for help you can contact him now through his email and mobile number below

      Email: greatkekespelltemple@gmail.com

      Mobile Number: +1 386-336-9876

      website: http://greatkekespelltemple01.webs.com



      i want to say a very big thanks and appreciation to Dr. Keke Odin the chief priest of all spell casters worldwide for bringing back my husband who left i and the kids for almost three months within the space of two days after following all instruction given to me. i am very much grateful for restoring peace in my marital home, and i pray God almighty give you the strength and wisdom to continue helping more people having similar relationship and marital problem like mine. for help you can contact him now through his email and mobile number below

      Email: greatkekespelltemple@gmail.com

      Mobile Number: +1 386-336-9876

      website: http://greatkekespelltemple01.webs.com


      i want to say a very big thanks and appreciation to Dr. Keke Odin the chief priest of all spell casters worldwide for bringing back my husband who left i and the kids for almost three months within the space of two days after following all instruction given to me. i am very much grateful for restoring peace in my marital home, and i pray God almighty give you the strength and wisdom to continue helping more people having similar relationship and marital problem like mine. for help you can contact him now through his email and mobile number below

      Email: greatkekespelltemple@gmail.com

      Mobile Number: +1 386-336-9876

      website: http://greatkekespelltemple01.webs.com

      Delete
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      GREAT LOVE SPELL CASTER LORD JUMA THAT HELP ME SAVE MY RELATIONSHIP.TEXT HIM AT: +1 (859)-203-2241



      My name is NORA CHRIST.i want to give thanks to LORD JUMA for bringing back my ex husband.No one could have ever made me believe that the letter I’m about to write would actually one day be written. I was the world’s biggest skeptic. I never believed in magic spells or anything like this, but I was told by a reliable source (a very close co-worker) that Trust is a very dedicated, gifted, and talented person,It was one of the best things I have ever done. My love life was in shambles; I had been through two divorces and was on the brink of a third. I just couldn't face another divorce, and I wanted to try harder to make our relationship work, but my husband didn’t seem to care. and he brake up with me again.I was confuse and do not no what to do again,rather them to get in contact with LORD JUMA. He did a love spell that make my husband come back to me. we are now very much happy with our self. LORD JUMA make him to realize how much we love and need each other.This man is for REAL and for good.he can also help you to fix your broken relationship. I had my husband back! It was like a miracle! He suddenly wanted to go to marriage counseling, and we’re doing very, very well,in our love life.contact email mercyfullsolutionhome@yahoo.com text or add him up on whatsApp at: +1 (859)-203-2241

      Delete
  2. AnonymousJune 28, 2016

    actually M79.674 or M79.675 would be more accurate than your unspecified code as they are pain in toe right and left respectively which is the more accurate and specific. Using an unspecified code when an existing code is available and correct is asking for problems down the road.

    ReplyDelete
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    ReplyDelete
  4. GREAT LOVE SPELL CASTER LORD JUMA THAT HELP ME SAVE MY RELATIONSHIP.TEXT HIM AT: +1 (859)-203-2241



    My name is NORA CHRIST.i want to give thanks to LORD JUMA for bringing back my ex husband.No one could have ever made me believe that the letter I’m about to write would actually one day be written. I was the world’s biggest skeptic. I never believed in magic spells or anything like this, but I was told by a reliable source (a very close co-worker) that Trust is a very dedicated, gifted, and talented person,It was one of the best things I have ever done. My love life was in shambles; I had been through two divorces and was on the brink of a third. I just couldn't face another divorce, and I wanted to try harder to make our relationship work, but my husband didn’t seem to care. and he brake up with me again.I was confuse and do not no what to do again,rather them to get in contact with LORD JUMA. He did a love spell that make my husband come back to me. we are now very much happy with our self. LORD JUMA make him to realize how much we love and need each other.This man is for REAL and for good.he can also help you to fix your broken relationship. I had my husband back! It was like a miracle! He suddenly wanted to go to marriage counseling, and we’re doing very, very well,in our love life.contact email mercyfullsolutionhome@yahoo.com text or add him up on whatsApp at: +1 (859)-203-2241

    ReplyDelete
  5. I AM SO HAPPY DR TRUST, MY HUSBAND IS BACK.

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    ReplyDelete
  6. After being in relationship with Wilson for seven years,he broke up with me, I did everything possible to bring him back but all was in vain, I wanted him back so much because of the love I have for him, I begged him with everything, I made promises but he refused. I explained my problem to someone online and she suggested that I should contact a spell caster that could help me cast a spell to bring him back but I am the type that don't believed in spell, I had no choice than to try it, I meant a spell caster called Dr Zuma zuk and I email him, and he told me there was no problem that everything will be okay before three days, that my ex will return to me before three days, he cast the spell and surprisingly in the second day, it was around 4pm. My ex called me, I was so surprised, I answered the call and all he said was that he was so sorry for everything that happened, that he wanted me to return to him, that he loves me so much. I was so happy and went to him, that was how we started living together happily again. Since then, I have made promise that anybody I know that have a relationship problem, I would be of help to such person by referring him or her to the only real and powerful spell caster who helped me with my own problem and who is different from all the fake ones out there. Anybody could need the help of the spell caster, his email: spiritualherbalisthealing@gmail.com or call him +2349055637784 you can email him if you need his assistance in your relationship or anything. CONTACT HIM NOW FOR SOLUTION TO ALL YOUR PROBLEMS

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  8. How I Got My Ex Husband Back...........

    I am Shannon by name. Greetings to every one that is reading this testimony. I have been rejected by my husband after three(3) years of marriage just because another woman had a spell on him and he left me and the kid to suffer. one day when i was reading through the web, i saw a post on how this spell caster on this address Makospelltemple@yahoo.com , have help a woman to get back her husband and i gave him a reply to his address and he told me that a woman had a spell on my husband and he told me that he will help me and after 2 days that i will have my husband back. i believed him and today i am glad to let you all know that this spell caster have the power to bring lovers back. because i am now happy with my husband. Thanks for Dr.Mako. His email: Makospelltemple@yahoo.com OR.His WhatsApp Number:+2347054263874.

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  10. I read testimonies about a love spell caster by Dr. Ereke on how he has helped lots of people in bringing back their ex lovers within 48hours, Sincerely I was just thinking if that was real and if this man could really help bring back my lover whom I love so much. I decided to contact him because I love my girlfriend very much and we have been apart for a couple of months I really missed her so much, I have tried all other means to get her back but couldn’t. I contacted erekespellcaster@yahoo. com and He told me that my ex will come back to me in the next 48 hours, Dr. Ereke released her up to know how much i loved and wanted her. And opened her eyes to picture how much we have share together. My ex is now back to me again. As I`m writing this testimony right now I`m the most happiest guy on earth and me and my girlfriend are living a happy life and our love is now stronger than how it was even before our break up. All thanks goes to Dr. Ereke for the excessive work that he has done for me by helping me to get back with my ex girlfriend. I would like to drop Dr. Ereke email address and hope you see this testimony and contact him if you have any problem Email him: erekespellcaster@yahoo. com

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  11. Today I'm so happy because of what Dr Miracle has done to my life. his spell is so great and fast, i have never really see a helpful man like him, he solved my problem i didn't expect, i came across him on face book people talking about his great spell work, i collected his contact and contacted him he responded immediately and ask about my problem i explain to him with tears, he told me contacting him i should not be worried my husband will come back to me as far i still love him, i was amaze. Immediately i ask what will i do to get my husband back, he gave me instructions and ask for his name and picture which immediately i obey and follow, he promise me two days my husband will call me to believe about his work, Honestly speaking my husband called but i miss his calls i was so happy. He promise me my husband will come back home within 48 hour and i should open my hearth and work with him which i did. Today my family is back again with the help of Dr Miracle, has bring back my husband after he left me for another woman in other state, you know how it feels when you loose your loved husband for another woman, you do anything to get him back. today i promise to share and tell the world about his great work because I'm so happy today. contact Him If You Need His Help Too, Ignore if You Don't. Thanks Dr Miracle,,"CONTACT Via Email,,,(( MIRACLESPELLHOME@YAHOO.COM ))

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