without the written consent of the AHA. WebWhat is the code for partial laparoscopic colectomy with anastomosis and coloproctostomy? CMS has defined "not usually self-administered" according to how the Medicare population as a whole uses the drug, not how an individual patient or physician may choose to use a particular drug. Both avulsion and routine trimming/debridement will not be allowed on the same nail on the same day. WebI was hoping someone could help me with coding for the procedure for a chemical matrixectomy. The AMA does not directly or indirectly practice medicine or dispense medical services. Sometimes, a large group can make scrolling thru a document unwieldy. Applicable Federal Acquisition Regulation Clauses (FARS)/Department of Defense Federal Acquisition Regulation supplement (DFARS) Restrictions Apply to Government Use. This LCD imposes utilization guideline limitations. An ingrown nail is growth of the nail edge into the surrounding soft tissue that may result in pain, inflammation or infection. Drainage may be achieved by drilling the nail with a needle or with cautery, which is reported with Current Procedural Terminology (CPT) code 11740 (evacuation of subungual hematoma, 0.92 relative value units [RVUs], Medicare $33.16). 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 CMS.gov Web site currently does not fully support browsers with You must log in or register to reply here. Applications are available at the AMA Web site, http://www.ama-assn.org/go/cpt. (Refer to LCD: Routine Foot Care). The Medicare program provides limited benefits for outpatient prescription drugs. 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? Wedge excision of skin of nail fold (CPT code 11765) is designed to relieve pressure on the nail/soft WebEncounter for removal of intrauterine contraceptive device Intrauterine device removal done; Iud removal; Removal of intrauterine contraceptive device done ICD-10-CM Diagnosis Article revised and published on 01/12/2017 effective for dates of service on and after 01/01/2017 to reflect the annual CPT/HCPCS code updates. Is the proper way to code these procedures: - CPT 11730 (twice) with the correct "T" codes, or - CPT 11730 for the first and CPT 11732 for the second avulsion, using the correct "T" codes on each? JavaScript is disabled. All those not listed under the "ICD-10-CM Codes that Support Medical Necessity" section of this article. All rights reserved. These materials contain Current Dental Terminology (CDTTM), copyright© 2022 American Dental Association (ADA). The following list(s) of procedure and/or diagnosis codes is provided for reference purposes only and may not be all inclusive. There are different article types: Articles are often related to an LCD, and the relationship can be seen in the "Associated Documents" section of the Article or the LCD. To submit a comment or question to CMS, please use the Feedback/Ask a Question link available at the bottom You agree to take all necessary steps to insure that your employees and agents abide by the terms of this agreement. Treatment of simple uncomplicated or asymptomatic ingrown nail such as removal of a nail spicule may be considered to be routine foot care as are other trimming, cutting, clipping and debriding of a nail distal to the eponychium. Some articles contain a large number of codes. Deformed nails that prevent wearing shoes or otherwise jeopardize the integrity of the toe. Reporting CPT code 11765 for the removal of a small piece of the skin and/or the nail without local anesthesia is not correct coding.Procedure code 11730 (Avulsion of nail plate, partial or complete, simple; single) is reported when removing part of the nail plate or the entire nail plate. 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). 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; If you are acting on behalf of an organization, you represent that you are authorized to act on behalf of such organization and that your acceptance of the terms of this agreement creates a legally enforceable obligation of the organization. Making copies or utilizing the content of the UB‐04 Manual, including the codes and/or descriptions, for internal purposes, Identify the specific digit(s) and make note to the nail margin(s) involved on which the procedure was performed. 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. Include the patients symptoms, the physical examination documenting the severity of the nail infection, injury or deformity, and the assessment and plan containing the rationale why surgical treatment is being selected over other treatment options. Subject to the terms and conditions contained in this Agreement, you, your employees and agents are authorized to use CDT only as contained in the following authorized materials and solely for internal use by yourself, employees and agents within your organization within the United States and its territories. CMS believes that the Internet is Reproduced with permission. While every effort has been made to provide accurate and The patients primary symptoms and previous treatment (if any) and description of the nail(s) at the time of avulsion services. Crushing injuries of the toes. DISCLOSED HEREIN. The following information must be clearly documented in the patients medical record: Complete detailed description of the pre-operative findings. If you are experiencing any technical issues related to the search, selecting the 'OK' button to reset the search data should resolve your issues. WebExcision of nail and nail matrix (CPT code 11750) is performed under local anesthesia and requires removal of part or all of the nail along its length, with destruction or permanent removal of the matrix (e.g., chemical/surgical matrixectomy). that coverage is not influenced by Revenue Code and the article should be assumed to apply equally to all Revenue Codes. This procedure involves the separation and removal of a border of the nail or removal of the entire nail from the nail bed to the eponychium. This Agreement will terminate upon notice if you violate its terms. However, in the case of a chronic condition, a more aggressive action may be necessary such as a chemical or laser procedure that removes the corner of the iniquitous nail and its matrix. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. Please review and accept the agreements in order to view Medicare Coverage documents, which may include licensed information and codes. An official website of the United States government. WebAvulsion of a nail plate (CPT codes 11730 and 11732) is, generally, performed under local anesthesia. Nail avulsions usually offer only temporary relief for ingrown toenails. Documentation supporting the medical necessity should be legible, maintained in the patients medical record and made available to Medicare upon request. Deformed nails that prevent wearing shoes or otherwise jeopardize the integrity of the toe. complete information, CMS does not guarantee that there are no errors in the information displayed on this web site. The Centers for Medicare & Medicaid Services (CMS), the federal agency responsible for administration of the Medicare, 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. A nail avulsion usually requires injected local anesthesia except in instances wherein the digit is devoid of sensation or there are other extenuating circumstances for which injectable anesthesia is not required or is medically contraindicated. 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. You can use the Contents side panel to help navigate the various sections. All Rights Reserved to AMA. CPT Codes, Descriptors, and other data only are copyright 1999 American Medical Association (or such other date of publication of CPT). CDT is a trademark of the ADA. ICD-10 Codes: 1 M79.675 Pain in If a covered diagnosis is not on the claim, the edit will automatically deny the service as not medically necessary. If you would like to extend your session, you may select the Continue Button. In the numeric section of the CPT, the removal of the nail and nail matrix is code 11750. Instructions for enabling "JavaScript" can be found here. This page displays your requested Article. The CPT/HCPCS codes included in this LCD will be subjected to procedure to diagnosis editing. Furnished in a setting appropriate to the patients medical needs and condition. copied without the express written consent of the AHA. Medicare requires the medical necessity for each service reported to be clearly demonstrated in the patients medical record. If a nail bed injury requires repair, report it with 11760 (repair of nail bed, 3.27 RVUs, Medicare $117.84). required field. A corresponding procedure code must accompany a Z code if a procedure is performed. 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. MACs are Medicare contractors that develop LCDs and Articles along with processing of Medicare claims. CPT code 11750 for nail excision permanent removal will be denied if billed for the same finger or toe following a previous excision. Draft articles have document IDs that begin with "DA" (e.g., DA12345). 5. 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. 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. You acknowledge that the ADA holds all copyright, trademark and other rights in CDT. Using modifier 50 to the second removal tells the insurer that the podiatrist carries out the toe removal as bilateral procedure. 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. The 2023 edition of ICD-10-CM L60.0 became apply equally to all claims. The following information should be included in the patients medical record (in the operative note or in progress notes related to a recent/contemporaneous/subsequent E/M encounter): A complete detailed description of the procedure performed including exact portion of nail removed. Providers are reminded to refer to the long descriptors of the CPT codes in their CPT book. If injectable anesthesia was not used, the reason must be clearly documented in the patients medical record. When billing for non-covered services, use the appropriate modifier. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available. CMS and its products and services are Patient has WC and Medicare insurance? Report each additional nail with the add-on code 11732 (avulsion of nail plate, partial or complete, simple, additional nail plate, 0.51 RVUs, Medicare $18.38). Therefore, a partial or complete excision of nail and nail matrix may be the preferred course of treatment for recurrent ingrown nails. Current Dental Terminology © 2022 American Dental Association. Article document IDs begin with the letter "A" (e.g., A12345). 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). damages arising out of the use of such information, product, or process. Coverage Indications, Limitations, and/or Medical Necessity. Complicated wounds of the toes involving nail components. 907 0 obj <>stream 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 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